Shadab Ahmed Medical PC

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

License

189464-1 Issued in NY

Legal business name

SHADAB AHMED MEDICAL PC

Practice address

53 Fairfield Dr
Dix Hills, NY 11746-7162

Phone

(631) 243-5515

NPI assigned

Oct 2, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Shadab Hussain Ahmed, M.D.

Title

President

Phone

(631) 243-5515

Specialties & licenses 1

Addresses

Other names 1

• Shadab Ahmed PC Former legal business name

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1254441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255564800000",
    "number": "1093040453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53 FAIRFIELD DR",
            "city": "DIX HILLS",
            "state": "NY",
            "postal_code": "117467162",
            "telephone_number": "631-243-5515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53 FAIRFIELD DR",
            "city": "DIX HILLS",
            "state": "NY",
            "postal_code": "117467162",
            "telephone_number": "631-243-5515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHADAB AHMED MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-02",
        "last_updated": "2009-10-15",
        "status": "A",
        "authorized_official_last_name": "AHMED",
        "authorized_official_first_name": "SHADAB",
        "authorized_official_middle_name": "HUSSAIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-243-5515",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "NY",
            "license": "189464-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shadab Ahmed PC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Morgan Joaquin Sears, L.AC.
• Laura Selub, DDS
• Satchelle Senat, CASAC-T
• Tracy Serigano
• Shehla Shabnam, M.D.
• Purna Shah, MD
• Sharise Shajan, RN
• Seena Shaji
• Barbara J Shannon
• Lauren Kate Shapiro, CCC/SLP

• Infectious Disease Physician in Dix Hills, NY
• Providers in Dix Hills, NY by specialty
• Infectious Disease Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.