Ahmed, Shamim

Ahmed, Shamim is an sole proprietor health care provider with primary practice located at 6413 Broadway , Woodside NY 11377-2336. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Ahmed, Shamim can be contacted via phone (718) 205-6561.

Contact Information

Primary practice address
6413 Broadway Woodside NY 11377-2336
Phone: (718) 205-6561
Fax: (718) 205-4815
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 237709 New York
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X 237709 New York

Profile Details

NPI number 1003839655
LBN Legal business name Ahmed, Shamim
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 25th, 2006
Last updated May 28th, 2015 - about 11 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 1003839655 NPPES
New York MEDICAID 02322732

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