Ahmed, Mohammed Shujauddin

Ahmed, Mohammed Shujauddin is an individual health care provider with primary practice located at 396 Remington Blvd Ste 140 , Bolingbrook IL 60440-4311. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Nephrology. Allopathic & Osteopathic Physicians / Nephrology is his primary health care specialty. Ahmed, Mohammed Shujauddin can be contacted via phone (630) 495-9356.

Contact Information

Primary practice address
396 Remington Blvd Ste 140 Bolingbrook IL 60440-4311
Phone: (630) 495-9356
Fax: (630) 495-9357
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036-113939 Illinois
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 036113939 Illinois

Profile Details

NPI number 1962588061
LBN Legal business name Ahmed, Mohammed Shujauddin
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 31st, 2006
Last updated Oct 22nd, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962588061 NPPES
Illinois Other 400280 MEDICARE GROUP PTAN
Illinois MEDICAID 036113939 MEDICARE GROUP PTAN

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