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NPI Code Detail

MEDICARE: SHAGUFTA AHSAN MD

MEDICARE: SHAGUFTA AHSAN MD
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 PhysicianMD438045PA
2207R00000XInternal Medicine Physician25MA09653300NJ

General Provider Information

NPI Number : 1003059866
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHAGUFTA AHSAN MD
Provider Business Mailing Address
First Line : 2901 JOLLY RD
Second Line :
City : PLYMOUTH MEETING
State : PA
Zip : 19462-2324
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2901 JOLLY RD
Second Line :
City : PLYMOUTH MEETING
State : PA
Zip : 19462-2324
Country : US
Telephone Number : 570-613-4943
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/09/2009
Last Update Date : 03/02/2026

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Directions to “ SHAGUFTA AHSAN MD” Practice Location

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