Shahab-Uddin, Ahmed
Shahab-Uddin, Ahmed is an sole proprietor health care provider with primary practice located at 16011 Kairos Rd Suite 100, South Chesterfield VA 23834-5207. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Shahab-Uddin, Ahmed can be contacted via phone (804) 520-2600.Contact Information
Primary practice address
16011 Kairos Rd Suite 100
South Chesterfield VA 23834-5207
Phone: (804) 520-2600
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 56041 | Virginia |
Profile Details
| NPI number | 1760449748 |
|---|---|
| LBN Legal business name | Shahab-Uddin, Ahmed |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 26th, 2006 |
| Last updated | Jan 29th, 2014 - about 12 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 | 1760449748 | NPPES |
| Virginia | Other | 271717 | ANTHEM HEALTH KEEPERS PL |
| Virginia | MEDICAID | 006761453 | ANTHEM HEALTH KEEPERS PL |
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