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NPI Code Detail

MEDICARE: DR. AHMAD I SHAFI M.D.

MEDICARE: DR. AHMAD I SHAFI M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician35087542OH
2208D00000XGeneral Practice PhysicianMD12277HI

General Provider Information

NPI Number : 1851331862
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. AHMAD I SHAFI M.D.
Provider Business Mailing Address
First Line : 2960 TONGASS AVE
Second Line :
City : KETCHIKAN
State : AK
Zip : 99901-5742
Country : US
Telephone Number : 907-228-4900
Fax Number : 800-852-3264
Provider Business Practice Location Address
First Line : 2960 TONGASS AVE
Second Line :
City : KETCHIKAN
State : AK
Zip : 99901-5742
Country : US
Telephone Number : 907-228-4900
Fax Number : 800-852-3264
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/07/2006
Last Update Date : 01/04/2018

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Directions to “ DR. AHMAD I SHAFI M.D.” Practice Location

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