Provider Demographics
NPI:1003134479
Name:AHMAD, SHAHBAZ (MD)
Entity Type:Individual
Prefix:DR
First Name:SHAHBAZ
Middle Name:
Last Name:AHMAD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5570 FM 423 STE 250 PMB#177
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75036-8929
Mailing Address - Country:US
Mailing Address - Phone:972-499-5551
Mailing Address - Fax:972-499-9150
Practice Address - Street 1:425 OLD NEWMAN RD STE 402
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75036-8184
Practice Address - Country:US
Practice Address - Phone:972-499-5551
Practice Address - Fax:972-499-9150
Is Sole Proprietor?:No
Enumeration Date:2010-05-11
Last Update Date:2022-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY259020207RI0200X
TXP1156207RI0200X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease