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General NPI Number Information
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NPI Number | 1821198730
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Entity Type | Individual
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Provider Name | MAMOONA SHAIKH-AHMAD MD
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Gender | Female
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Dates
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Enumeration Date | 09/22/2006
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Last Update Date | 01/08/2016
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Provider Practice Location Address
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Address Line | 5419 N LOVINGTON HWY STE 11
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City | HOBBS
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State | NM
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Zip | 88240-9100
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Country | US
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Telephone | 575-492-0077
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Fax | 575-492-0087
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Provider Business Mailing Address
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Address Line | 5419 N LOVINGTON HWY STE 11
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City | HOBBS
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State | NM
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Zip | 88240-9135
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Country | US
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Telephone | 575-492-0077
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Fax | 575-492-0087
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | MD2005--0851
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License Number State | NM
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Taxonomy #2
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | MD2005-0851
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License Number State | NM
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