DR. Shafique Ahmad, MD
NPI #1700973229 in Granite City, Illinois
Provider Information
- NPI Number
- 1700973229
- Entity Type
- Individual
- Name
- DR. Shafique Ahmad, MD
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Pediatrics
- Credential
- MD
- Enumeration Date
- Oct 6, 2006
- Last Updated
- Jan 26, 2015
Practice Location
- Address
- 3165 MYRTLE AVE
- Address 2
- SUITE 2
- City
- Granite City
- State
- Illinois
- ZIP Code
- 62040-5012
- Phone
- (618) 876-7500
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pediatrics |
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