MEDICARE: MR. SHAMOON AHMAD 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
1	207RH0003X	Hematology & Oncology Physician	8655	NV

General Provider Information

NPI Number	:	1063587459
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. SHAMOON AHMAD M.D.

Provider Business Mailing Address
First Line	:	PO BOX 60327
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89160-0327
Country	:	US
Telephone Number	:	702-363-2020
Fax Number	:	702-792-4030

Provider Business Practice Location Address
First Line	:	3340 TOPAZ ST
Second Line	:	SUITE 100
City	:	LAS VEGAS
State	:	NV
Zip	:	89121-3903
Country	:	US
Telephone Number	:	702-363-2020
Fax Number	:	702-792-4030

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/21/2006
Last Update Date	:	07/08/2007

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