Organization Active NPI

Renner Internal Medicine

  • Primary Care Clinic/Center
  • Richardson, TX
National Provider Identifier
1487970257
Registry record updated Apr 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
K9476 Issued in TX
Legal business name
RENNER INTERNAL MEDICINE
Practice address
3409 Spectrum Blvd Ste 300
Richardson, TX 75082-9713
Phone
(972) 363-3298
NPI assigned
Apr 19, 2010
Last updated
Apr 19, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2010

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

Authorized official

Name
Dr. Shakil Ahmed, M.D.
Title
President
Phone
(972) 363-6298

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X K9476 TX Primary

Addresses

Primary practice location

3409 Spectrum Blvd Ste 300
Richardson, TX 75082-9713

Mailing address

3716 Orange Blossom CT
Plano, TX 75025-3740
Phone (972) 363-6298

National Provider Directory

National Provider Directory

Locations

3409 Spectrum Blvd
Ste 300
Richardson, TX 75082
Phone (214) 431-4539

NPI Registry JSON

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

{
    "created_epoch": "1271635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271635200000",
    "number": "1487970257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3716 ORANGE BLOSSOM CT",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750253740",
            "telephone_number": "972-363-6298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3409 SPECTRUM BLVD STE 300",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750829713",
            "telephone_number": "972-363-3298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENNER INTERNAL MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-19",
        "last_updated": "2010-04-19",
        "status": "A",
        "authorized_official_last_name": "AHMED",
        "authorized_official_first_name": "SHAKIL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-363-6298",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "TX",
            "license": "K9476",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richardson, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2010; 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.