Provider Demographics
NPI:1194285866
Name:AHMED, SHAMAYL MUNAF (MD)
Entity type:Individual
Prefix:
First Name:SHAMAYL
Middle Name:MUNAF
Last Name:AHMED
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:250 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:BAY SHORE
Mailing Address - State:NY
Mailing Address - Zip Code:11706-8442
Mailing Address - Country:US
Mailing Address - Phone:631-587-7733
Mailing Address - Fax:631-665-0172
Practice Address - Street 1:250 E MAIN ST
Practice Address - Street 2:
Practice Address - City:BAY SHORE
Practice Address - State:NY
Practice Address - Zip Code:11706-8442
Practice Address - Country:US
Practice Address - Phone:631-587-7733
Practice Address - Fax:631-665-0172
Is Sole Proprietor?:No
Enumeration Date:2019-03-20
Last Update Date:2025-01-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY317948207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease