Provider Demographics
NPI:1154012128
Name:SHUJAIRI, AHMED KAREEM (DDS)
Entity type:Individual
Prefix:DR
First Name:AHMED
Middle Name:KAREEM
Last Name:SHUJAIRI
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3570 TORINGDON WAY APT 1019
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28277-4896
Mailing Address - Country:US
Mailing Address - Phone:201-562-9994
Mailing Address - Fax:
Practice Address - Street 1:3570 TORINGDON WAY APT 1019
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28277-4896
Practice Address - Country:US
Practice Address - Phone:201-562-9994
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-18
Last Update Date:2024-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC10533122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist