Shafi J Ahmed MD PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

4301056194 Issued in MI

Legal business name

SHAFI J AHMED MD PC

Doing business as

Court Street Family Medicine

Practice address

G4007 W Court St
Suite B
Flint, MI 48532-3560

Phone

(810) 732-7716

Fax

(810) 732-7863

NPI assigned

Oct 9, 2006

Organization subpart

No

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

Authorized official

Name

Shafi J Ahmed, M.D.

Title

Owner President

Phone

(810) 732-7716

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Court Street Family Medicine Doing business as

Locations

Practitioners 1

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

• Peter S Thoms, M.D.

  • Family Medicine Physician
  • Flint, MI
  • NPI 1770672313
  NPD (past)

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

{
    "created_epoch": "1160352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308700800000",
    "number": "1730276981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "G4007 W COURT ST",
            "address_2": "SUITE B",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485323560",
            "telephone_number": "810-732-7716",
            "fax_number": "810-732-7863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "G4007 W COURT ST",
            "address_2": "SUITE B",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485323560",
            "telephone_number": "810-732-7716",
            "fax_number": "810-732-7863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAFI J AHMED MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-09",
        "last_updated": "2011-06-22",
        "status": "A",
        "authorized_official_last_name": "AHMED",
        "authorized_official_first_name": "SHAFI",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER  PRESIDENT",
        "authorized_official_telephone_number": "810-732-7716",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301023712",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301056194",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "080B512470",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3331400",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Court Street Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• April Shackelford, LMSW, CADC
• Agness Latrice Shackleford
• Pamela Rochelle Shadaia, LMSW
• Jennifer Shaffer, DNP, APRN, FNP-BC
• Lauren Marjorie Shaffer, OD
• Shahin Shafiei, MD
• Anant M Shah, M.D.
• Jawad A. Shah, MD
• Krishna J Shah, M.D.
• Parmendra Shah, MD

• Internal Medicine Physician in Flint, MI
• Providers in Flint, MI by specialty
• Internal Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2011; 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.