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1205412269

NPI Code Detail

MEDICARE: SHAMIM AHMED MD

MEDICARE: SHAMIM AHMED 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
1	208M00000X	Hospitalist Physician	MD61531921	WA
2	208M00000X	Hospitalist Physician	82146	CT
3	207R00000X	Internal Medicine Physician	331050	NY
4	208M00000X	Hospitalist Physician	331050	NY
5	207R00000X	Internal Medicine Physician	MD61531921	WA

General Provider Information

NPI Number	:	1205412269
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHAMIM AHMED MD

Provider Business Mailing Address
First Line	:	9525 75TH ST
Second Line	:
City	:	OZONE PARK
State	:	NY
Zip	:	11416-1007
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	325 9TH AVE
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98104-2420
Country	:	US
Telephone Number	:	206-744-3000
Fax Number	:

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

Provider Enumeration Date	:	03/21/2021
Last Update Date	:	12/09/2025

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Directions to “ SHAMIM AHMED MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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