Healthcare Provider Details

I. General information

NPI: 1649433137
Provider Name (Legal Business Name): SARIM SHAKEEL AHMED M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/06/2008
Last Update Date: 02/20/2025
Certification Date: 02/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7301 E 2ND ST STE 310
SCOTTSDALE AZ
85251
US

IV. Provider business mailing address

7301 E 2ND ST STE 310
SCOTTSDALE AZ
85251-5627
US

V. Phone/Fax

Practice location:
  • Phone: 877-821-4657
  • Fax:
Mailing address:
  • Phone: 877-821-4657
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number46568
License Number StateAZ
# 2
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberN/A
License Number StateNY
# 3
Primary TaxonomyY
Taxonomy Code207XS0114X
TaxonomyAdult Reconstructive Orthopaedic Surgery Physician
License Number46568
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: