Provider Demographics
NPI:1669668539
Name:AHMED, SHABEER (MD)
Entity Type:Individual
Prefix:DR
First Name:SHABEER
Middle Name:
Last Name:AHMED
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:SHABEER
Other - Middle Name:
Other - Last Name:AHMED
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:400 ANNANDALE BLVD
Mailing Address - Street 2:
Mailing Address - City:ANNANDALE
Mailing Address - State:MN
Mailing Address - Zip Code:55302-3141
Mailing Address - Country:US
Mailing Address - Phone:651-259-3855
Mailing Address - Fax:
Practice Address - Street 1:400 ANNANDALE BLVD
Practice Address - Street 2:
Practice Address - City:ANNANDALE
Practice Address - State:MN
Practice Address - Zip Code:55302-3141
Practice Address - Country:US
Practice Address - Phone:651-259-3855
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-09-24
Last Update Date:2011-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN503672084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry