Ahmad, Shahnaz

Ahmad, Shahnaz is an individual health care provider with primary practice located at 3165 Myrtle Ave Ste 2, Granite City IL 62040-5012. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Ahmad, Shahnaz can be contacted via phone (618) 876-7500.

Contact Information

Primary practice address
3165 Myrtle Ave Ste 2 Granite City IL 62040-5012
Phone: (618) 876-7500
Fax: (618) 876-0807
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X R1A07 Missouri
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 036061727 Illinois

Profile Details

NPI number 1184634685
LBN Legal business name Ahmad, Shahnaz
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 8th, 2006
Last updated Jan 26th, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184634685 NPPES
Illinois MEDICAID 036061727

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