Basic Information
| Provider Information | |||||||||
| NPI: | 1487616405 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | AHMED | ||||||||
| FirstName: | SHAHEEN | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 52990 | ||||||||
| Address2: | |||||||||
| City: | GREENWOOD | ||||||||
| State: | SC | ||||||||
| PostalCode: | 296490048 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8642233600 | ||||||||
| FaxNumber: | 8642236054 | ||||||||
| Practice Location | |||||||||
| Address1: | 10730 NALL AVE | ||||||||
| Address2: | SUITE #102 | ||||||||
| City: | OVERLAND | ||||||||
| State: | KS | ||||||||
| PostalCode: | 662111206 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9133416297 | ||||||||
| FaxNumber: | 9133416299 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/05/2006 | ||||||||
| LastUpdateDate: | 02/18/2008 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207ZC0500X | 04-18800 | KS | N | Allopathic & Osteopathic Physicians | Pathology | Cytopathology | 207ZP0102X | 04-18800 | KS | Y | Allopathic & Osteopathic Physicians | Pathology | Anatomic Pathology & Clinical Pathology |
No ID Information.