Healthcare Provider Details

I. General information

NPI: 1811080864
Provider Name (Legal Business Name): SHEMA AHMED MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/02/2006
Last Update Date: 06/01/2026
Certification Date: 06/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 VEAZEY DR
BUTNER NC
27509-1668
US

IV. Provider business mailing address

300 VEAZEY DR
BUTNER NC
27509-1668
US

V. Phone/Fax

Practice location:
  • Phone: 919-764-7230
  • Fax: 919-764-7338
Mailing address:
  • Phone: 919-764-7230
  • Fax: 919-764-7338

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number2016-00794
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: