Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RI0200X | Infectious Disease | 259020 | NY |
Y | 207RI0200X | Infectious Disease | P1156 | TX |
NPI | 1003134479 |
---|---|
Provider Name | Dr. Shahbaz Ahmad |
First Address | Frisco, TX 75036-8929 |
Second Address | Frisco, TX 75036-8184 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/05/2010 |
Last Update Date | 13/05/2019 |