Provider Demographics
NPI:1790955219
Name:AHMED, SHABANA NAJMI (MD)
Entity Type:Individual
Prefix:
First Name:SHABANA
Middle Name:NAJMI
Last Name:AHMED
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4063 POND RUN
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:MI
Mailing Address - Zip Code:48188-2176
Mailing Address - Country:US
Mailing Address - Phone:734-495-0985
Mailing Address - Fax:743-495-0985
Practice Address - Street 1:9315 TELEGRAPH ROAD
Practice Address - Street 2:LINCOLN BEHAVIORAL SERVICES
Practice Address - City:REDFORD
Practice Address - State:MI
Practice Address - Zip Code:48239
Practice Address - Country:US
Practice Address - Phone:313-450-4500
Practice Address - Fax:313-450-4512
Is Sole Proprietor?:No
Enumeration Date:2008-03-12
Last Update Date:2008-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI43010914882084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry