| Shahzad Ahmad Pllc | |
|
4465 S 900 E Ste 200 Salt Lake City UT 84124-2695 | |
| (801) 871-8366 | |
| (801) 375-3810 |
| Full Name | Shahzad Ahmad Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 4465 S 900 E Ste 200, Salt Lake City, Utah |
| Authorized Official Name and Position | Shahzad Ahmad (OWNER) |
| Authorized Official Contact | 8013102795 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Shahzad Ahmad Pllc 4465 S 900 E Ste 200 Salt Lake City UT 84124-2695 Ph: (801) 871-8366 | Shahzad Ahmad Pllc 4465 S 900 E Ste 200 Salt Lake City UT 84124-2695 Ph: (801) 871-8366 |
| NPI Number | 1992298970 |
|---|---|
| Provider Enumeration Date | 06/13/2018 |
| Last Update Date | 12/27/2019 |
| Medicare PECOS PAC ID | 4385993807 |
|---|---|
| Medicare Enrollment ID | O20180816002054 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992298970 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | 81741361205 (Utah) | Primary |
| Provider Name | Shahzad Ahmad |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1467533950 PECOS PAC ID: 0244259257 Enrollment ID: I20120229000532 |
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