Shafi, Ahmed
Shafi, Ahmed is an individual health care provider with primary practice located at 4829 S Ashland Ave , Chicago IL 60609-4234. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Shafi, Ahmed can be contacted via phone (773) 927-2714.Contact Information
Primary practice address
4829 S Ashland Ave
Chicago IL 60609-4234
Phone: (773) 927-2714
Fax: (773) 927-2716
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 036-098168 | Illinois |
Profile Details
| NPI number | 1912997743 |
|---|---|
| LBN Legal business name | Shafi, Ahmed |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 24th, 2005 |
| Last updated | Nov 30th, 2007 - about 19 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1912997743 | NPPES |
| Illinois | MEDICAID | 036-098168 | |
| Illinois | Other | 03222998 |
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