Provider Demographics
NPI:1861828733
Name:AHMED, SHAHEED (PHARMD)
Entity Type:Individual
Prefix:
First Name:SHAHEED
Middle Name:
Last Name:AHMED
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3224 DECATUR AVE
Mailing Address - Street 2:APT 6
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10467-4218
Mailing Address - Country:US
Mailing Address - Phone:646-236-5167
Mailing Address - Fax:
Practice Address - Street 1:3224 DECATUR AVE
Practice Address - Street 2:APT 6
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10467-4218
Practice Address - Country:US
Practice Address - Phone:646-236-5167
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-23
Last Update Date:2013-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CTPCT.0012829183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist