Most Relevant Information
Provider Data
| NPI Number: | 1003203704 |
| Provider Name: | SHABAZ AHMED M.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 208M00000X |
| Specialty: | Hospitalist |
| License Number: | 294961 |
Most Important Dates
| Enumeration Date: | 04/20/2015 |
| Last Updated: | 10/19/2021 |
Provider Practice Location
30 PROSPECT AVE
HACKENSACK
NJ
076011915
Practice Location Phone/Fax
| Phone: | 5519964466 |
| Fax: |
Provider Mailing Location
30 PROSPECT AVE
HACKENSACK
NJ
076011915
Provider Mailing Phone/Fax
| Phone: | 5519964466 |
| Fax: |