Sharnam Ahmed, DO
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Stony Brook, NY
NPI 1023694841 · NPPES record last updated Mar 22, 2021
Key facts
- NPI
- 1023694841
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 101 Nicolls Rd RM 40
Stony Brook, NY 11794-0001 - Phone
- (631) 444-2894
- NPI assigned
- Mar 22, 2021
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Osteopathy
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
101 Nicolls Rd RM 40
Stony Brook, NY 11794-0001
Mailing address
101 Nicolls Rd RM 40
Stony Brook, NY 11794-0001
Phone (631) 444-2894
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| EF16168V | Medicaid | NY |
Other providers in Stony Brook, NY
- Zoha Ahmad
- Abdullah Ahmed
- Mansoor Ahmed
- Mohsen Ahmed
- Saghir Ahmed
- Sunjida Ahmed
- Tahmeena Ahmed
- Anna Ahn
- Christine Sunjung Ahn
- Jane Yonjoo Ahn
All providers in Stony Brook, NY · Student in an Organized Health Care Education/Training Program in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 22, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.