Active NPI
Ahmad Hisham Mohammad Shaban, MD
- Diagnostic Radiology Physician
- Winston Salem, NC
National Provider Identifier
1750263190
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 328604
- Practice address
- 2008 Queen St
Winston Salem, NC 27103-2628 - Phone
- (336) 716-1926
- NPI assigned
- Jul 25, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 328604 | NC | Primary |
Addresses
Primary practice location
2008 Queen St
Winston Salem, NC 27103-2628
Mailing address
151 Edgeway Dr, Apt 1-515
Winston Salem, NC 27104
Phone (336) 456-0998
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 328604 | NC | MD | Diagnostic Radiology Physician |
Interoperability endpoints
- ashaban3024271@carolinashealthcaresystem.direct-ci.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1753401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753660800000",
"number": "1750263190",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "151 EDGEWAY DR, APT 1-515",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "27104",
"telephone_number": "336-456-0998"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2008 QUEEN ST",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271032628",
"telephone_number": "336-716-1926"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHABAN",
"first_name": "AHMAD",
"middle_name": "HISHAM MOHAMMAD",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-07-25",
"last_updated": "2025-07-28",
"certification_date": "2025-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Radiology",
"state": "NC",
"license": "328604",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Winston Salem, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.