Shahzad Ahmad PLLC

Primary specialty

Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X

License

81741361205 Issued in UT

Legal business name

SHAHZAD AHMAD PLLC

Practice address

4465 S 900 E Ste 200
Salt Lake City, UT 84124-2695

Phone

(801) 871-8366

Fax

(801) 375-3810

NPI assigned

Jun 13, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Shahzad Ahmad, MDNPI 1467533950

Title

Owner

Phone

(801) 310-2795

Specialties & licenses 1

Addresses

Other names 1

• Endocrinology Center of Utah Doing business as

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

Locations

Practitioners 1

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

• Shahzad Ahmad, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Salt Lake City, UT
  • NPI 1467533950

  UT

  Medicare reassignment Authorized official

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

{
    "created_epoch": "1528848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1577404800000",
    "number": "1992298970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4465 S 900 E STE 200",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841242695",
            "telephone_number": "801-871-8366",
            "fax_number": "801-375-3810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4465 S 900 E STE 200",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841242695",
            "telephone_number": "801-871-8366",
            "fax_number": "801-375-3810"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3000 N Triumph Blvd Ste 340",
            "address_purpose": "LOCATION",
            "city": "Lehi",
            "state": "UT",
            "postal_code": "840434999",
            "country_code": "US",
            "telephone_number": "801-356-2811",
            "fax_number": "801-375-3810",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SHAHZAD AHMAD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-13",
        "last_updated": "2019-12-27",
        "certification_date": "2019-12-27",
        "status": "A",
        "authorized_official_last_name": "AHMAD",
        "authorized_official_first_name": "SHAHZAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-310-2795",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "UT",
            "license": "81741361205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Endocrinology Center of Utah",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lubdha M. Shah, M.D.
• Madhuri Shah, M.D.
• Rashmee Shah, M.D.
• Ritu Shah
• Danielle M. Shahin, MD
• Shawn Shaji, M.D.
• Julie Hayedeh Shakib, DO
• Akbar Shakoor, MBBS
• Paul J. Shami, MD
• Youngbeen Jeon Shamo, NP

• All providers in Salt Lake City, UT
• Endocrinology, Diabetes & Metabolism Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.