Provider Demographics
NPI:1780695882
Name:AHMED, SHAHIDA Y (MD)
Entity type:Individual
Prefix:DR
First Name:SHAHIDA
Middle Name:Y
Last Name:AHMED
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:SHAHIDA
Other - Middle Name:
Other - Last Name:YOOSUFANI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:61 LAUREL HOLLOW CT
Mailing Address - Street 2:
Mailing Address - City:EDISON
Mailing Address - State:NJ
Mailing Address - Zip Code:08820-1051
Mailing Address - Country:US
Mailing Address - Phone:973-676-1000
Mailing Address - Fax:973-395-7126
Practice Address - Street 1:61 LAUREL HOLLOW CT
Practice Address - Street 2:
Practice Address - City:EDISON
Practice Address - State:NJ
Practice Address - Zip Code:08820-1051
Practice Address - Country:US
Practice Address - Phone:973-676-1000
Practice Address - Fax:973-395-7126
Is Sole Proprietor?:No
Enumeration Date:2006-08-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY163583-1207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology