Ahmady, Shakelah
Ahmady, Shakelah is an individual health care provider with primary practice located at 5501 Old York Rd Ste 1 , Philadelphia PA 19141-3018. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Ahmady, Shakelah can be contacted via phone (215) 456-7170.Contact Information
Primary practice address
5501 Old York Rd Ste 1
Philadelphia PA 19141-3018
Phone: (215) 456-7170
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | SP023120 | Pennsylvania |
Profile Details
| NPI number | 1669139887 |
|---|---|
| LBN Legal business name | Ahmady, Shakelah |
| Credentials | CRNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 22nd, 2021 |
| Last updated | Feb 17th, 2022 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1669139887 | NPPES |
| Pennsylvania | MEDICAID | 1669139887 |
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