MEDICARE: DR. SHAHED AHMED 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	207RC0000X	Cardiovascular Disease Physician	114671	NY
2	207R00000X	Internal Medicine Physician	114671	NY

General Provider Information

NPI Number	:	1659301745
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SHAHED AHMED M.D.

Provider Business Mailing Address
First Line	:	2102 KINGS HWY
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11229-1537
Country	:	US
Telephone Number	:	718-253-6660
Fax Number	:	718-951-6584

Provider Business Practice Location Address
First Line	:	2102 KINGS HWY
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11229-1537
Country	:	US
Telephone Number	:	718-253-6660
Fax Number	:	718-951-6584

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

Provider Enumeration Date	:	07/04/2006
Last Update Date	:	01/09/2009

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Directions to “ DR. SHAHED AHMED M.D.” Practice Location

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