Provider Demographics
NPI:1982641239
Name:SHAHEEN, ZAFAR AHMED (MD)
Entity Type:Individual
Prefix:DR
First Name:ZAFAR
Middle Name:AHMED
Last Name:SHAHEEN
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 1:18 MATTHEW CT
Mailing Address - Street 2:
Mailing Address - City:PISCATAWAY
Mailing Address - State:NJ
Mailing Address - Zip Code:08854-5072
Mailing Address - Country:US
Mailing Address - Phone:732-463-9160
Mailing Address - Fax:
Practice Address - Street 1:498 UNION AVE
Practice Address - Street 2:
Practice Address - City:MIDDLESEX
Practice Address - State:NJ
Practice Address - Zip Code:08846-1931
Practice Address - Country:US
Practice Address - Phone:732-469-0565
Practice Address - Fax:732-469-6103
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA37629207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ3650502Medicaid
NJ3650502Medicaid
NJSH4877Medicare ID - Type Unspecified