MEDICARE: DR. SHAKIL 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	207R00000X	Internal Medicine Physician	K9476	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1821094616
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SHAKIL AHMED M.D

Provider Business Mailing Address
First Line	:	820 W ARAPAHO RD
Second Line	:	STE 200
City	:	RICHARDSON
State	:	TX
Zip	:	75080-4065
Country	:	US
Telephone Number	:	972-498-4500
Fax Number	:	972-680-9147

Provider Business Practice Location Address
First Line	:	6029 BELT LINE RD STE 105
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75254-7873
Country	:	US
Telephone Number	:	972-385-0000
Fax Number	:	817-666-3873

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

Provider Enumeration Date	:	06/26/2005
Last Update Date	:	03/27/2025

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