Provider Demographics
NPI:1801276472
Name:AHMED, HEIDI SHAIFQUN (MD)
Entity type:Individual
Prefix:
First Name:HEIDI
Middle Name:SHAIFQUN
Last Name:AHMED
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:85 E CONCORD ST STE 7720
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02118-2335
Mailing Address - Country:US
Mailing Address - Phone:617-638-6525
Mailing Address - Fax:617-638-6529
Practice Address - Street 1:20 RESEARCH PL STE 220
Practice Address - Street 2:
Practice Address - City:NORTH CHELMSFORD
Practice Address - State:MA
Practice Address - Zip Code:01863-2455
Practice Address - Country:US
Practice Address - Phone:978-459-6737
Practice Address - Fax:855-818-1869
Is Sole Proprietor?:No
Enumeration Date:2015-06-09
Last Update Date:2022-03-16
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IAR-10327207R00000X
MA275290207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine