Organization Active NPI

Ahmad Shafi MD

Doing business as Adult Medicine

  • Primary Care Clinic/Center
  • Wahiawa, HI
National Provider Identifier
1376965426
Registry record updated Jan 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
MD12277 Issued in HI
Legal business name
AHMAD SHAFI MD
Doing business as
Adult Medicine
Practice address
410 Kilani Ave
Suite 102
Wahiawa, HI 96786-1844
Phone
(808) 622-3660
Fax
(808) 366-3661
NPI assigned
Jan 8, 2014
Last updated
Jan 8, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2014

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

Authorized official

Name
Dr. Ahmad Shafi, M.D.
Title
Physician
Phone
(808) 622-3660

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X MD12277 HI Primary

Addresses

Primary practice location

410 Kilani Ave
Suite 102
Wahiawa, HI 96786-1844

Mailing address

410 Kilani Ave
Suite 102
Wahiawa, HI 96786-1844
Phone (808) 622-3660

Other names 1

  • Adult Medicine Doing business as

National Provider Directory

National Provider Directory

Locations

410 Kilani Ave
Ste 102
Wahiawa, HI 96786
Phone (808) 622-1666

NPI Registry JSON

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

{
    "created_epoch": "1389139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389139200000",
    "number": "1376965426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 KILANI AVE",
            "address_2": "SUITE 102",
            "city": "WAHIAWA",
            "state": "HI",
            "postal_code": "967861844",
            "telephone_number": "808-622-3660",
            "fax_number": "808-366-3661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 KILANI AVE",
            "address_2": "SUITE 102",
            "city": "WAHIAWA",
            "state": "HI",
            "postal_code": "967861844",
            "telephone_number": "808-622-3660",
            "fax_number": "808-366-3661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AHMAD SHAFI MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-08",
        "last_updated": "2014-01-08",
        "status": "A",
        "authorized_official_last_name": "SHAFI",
        "authorized_official_first_name": "AHMAD",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "808-622-3660",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "HI",
            "license": "MD12277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Adult Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wahiawa, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2014; 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.