Provider Demographics
NPI:1306012950
Name:AHMED, SHAZIA SAMAN (MD)
Entity type:Individual
Prefix:
First Name:SHAZIA
Middle Name:SAMAN
Last Name:AHMED
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:2661 RIVA RD STE 1030
Mailing Address - Street 2:
Mailing Address - City:ANNAPOLIS
Mailing Address - State:MD
Mailing Address - Zip Code:21401-7131
Mailing Address - Country:US
Mailing Address - Phone:410-571-8733
Mailing Address - Fax:410-571-6309
Practice Address - Street 1:1635 N GEORGE MASON DR STE 100
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22205-3604
Practice Address - Country:US
Practice Address - Phone:703-524-5777
Practice Address - Fax:703-908-9647
Is Sole Proprietor?:No
Enumeration Date:2008-05-05
Last Update Date:2025-03-29
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Provider Licenses
StateLicense IDTaxonomies
MA237660207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA2161770Medicaid
MA000936906Medicare PIN