Shafiq Ahmed, MD, SC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

036041524 Issued in IL

Legal business name

SHAFIQ AHMED, MD, SC

Practice address

15300 West Ave
Suite 222 South Building
Orland Park, IL 60462-4600

Phone

(708) 403-3401

Fax

(708) 403-3403

NPI assigned

Jul 18, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Shafiq Ahmed, MDNPI 1205826021

Title

President

Phone

(708) 403-3401

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shafiq Ahmed, MD

  • Surgery Physician
  • Orland Park, IL
  • NPI 1205826021
  NPD (past) Authorized official

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

{
    "created_epoch": "1216339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216339200000",
    "number": "1407010424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15300 WEST AVE",
            "address_2": "SUITE 222 SOUTH BUILDING",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604624600",
            "telephone_number": "708-403-3401",
            "fax_number": "708-403-3403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15300 WEST AVE",
            "address_2": "SUITE 222 SOUTH BUILDING",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604624600",
            "telephone_number": "708-403-3401",
            "fax_number": "708-403-3403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAFIQ AHMED, MD, SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-18",
        "last_updated": "2008-07-18",
        "status": "A",
        "authorized_official_last_name": "AHMED",
        "authorized_official_first_name": "SHAFIQ",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-403-3401",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "IL",
            "license": "036041524",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036041524",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alexis Serrano, DO
• Maryellen Serritella
• Angela Dawn Sexton
• Dalton Lee Sexton, PHYSICIAN ASSISTANT
• Nadeen Shaban, DMD
• Miraj G Shah-Khan, M.D.
• Mirab Mickey Shah, PT
• Puja Shah
• Ibrahim Hassan Shalabi, LPC
• Janine-Sara Shalash, CMHC INTERN

• Surgery Physician in Orland Park, IL
• Providers in Orland Park, IL by specialty
• Surgery Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2008; 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.