Provider Demographics
NPI:1821198730
Name:SHAIKH-AHMAD, MAMOONA (MD)
Entity Type:Individual
Prefix:DR
First Name:MAMOONA
Middle Name:
Last Name:SHAIKH-AHMAD
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5419 N LOVINGTON HWY STE 11
Mailing Address - Street 2:
Mailing Address - City:HOBBS
Mailing Address - State:NM
Mailing Address - Zip Code:88240-9135
Mailing Address - Country:US
Mailing Address - Phone:575-492-0077
Mailing Address - Fax:575-492-0087
Practice Address - Street 1:5419 N LOVINGTON HWY
Practice Address - Street 2:STE 11
Practice Address - City:HOBBS
Practice Address - State:NM
Practice Address - Zip Code:88240-9100
Practice Address - Country:US
Practice Address - Phone:575-492-0077
Practice Address - Fax:575-492-0087
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-22
Last Update Date:2016-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMMD2005--0851207L00000X
NMMD2005-0851207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
No207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine