AHMED IJAZ SHAH


Address: 250 Martin Luther King Jr Blvd, Macon, GA 31201
Phone: 4783014111

AHMED IJAZ SHAH (NPI# 1255489274) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1255489274
Entity Type Individual
Full Name AHMED IJAZ SHAH
Credential MD
Practice Address 250 Martin Luther King Jr Blvd
Macon
GA 31201
Mailing Address Po Box 4947
Macon
GA 31208-4947
Practice Telephone 4783014111
Practice Fax Number 4783015812
Mailing Telephone 4783012362
Mailing Fax Number 4783012272
Enumeration Date 2007-01-08
Last Update Date 2014-07-18
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207RC0000X Internal Medicine
Specialization: Cardiovascular Disease
064736 GA Allopathic & Osteopathic Physicians
Y 207RI0011X Internal Medicine
Specialization: Interventional Cardiology
064736 GA Allopathic & Osteopathic Physicians

Office Location

Street Address 250 MARTIN LUTHER KING JR BLVD
City MACON
State GA
Zip Code 31201

Providers in the same location

NPI Name Taxonomy Address Enumeration
1669465860 John Wesley King Jr. Internal Medicine 250 Martin Luther King Jr Blvd, Macon, GA 31201-3490 2005-08-24
1194350017 Michael Caputo Marriage & Family Therapist 250 Martin Luther King Jr Blvd, Macon, GA 31201-3490 2020-03-11
1801319447 Neha Khorana Psychologist 250 Martin Luther King Jr Blvd, Macon, GA 31201-3490 2017-07-25
1659818623 Community Health Care Systems, Inc Clinic/Center 250 Martin Luther King Jr Blvd, Macon, GA 31201-3490 2017-01-27
1659716546 Fanisha Y Porter Psychiatry & Neurology 250 Martin Luther King Jr Blvd, Macon, GA 31201 2013-05-06
1679835649 Joe Sam Robinson IIi Internal Medicine 250 Martin Luther King Jr Blvd, Macon, GA 31201 2012-06-14
1831457274 Stephanie Alexandra Beavers Internal Medicine 250 Martin Luther King Jr Blvd, Macon, GA 31201 2012-04-23
1447534441 Marita Ann Hockstedler Nurse Practitioner 250 Martin Luther King Jr Blvd, Macon, GA 31201-0000 2011-10-10
1154602910 Dinah K Ayna Psychologist 250 Martin Luther King Jr Blvd, Macon, GA 31201-3490 2011-09-07
1477708956 Katherine Walker Hatcher Nurse Practitioner 250 Martin Luther King Jr Blvd, Macon, GA 31201-3490 2008-11-25
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1639666340 Yasameen Emad Muzahim Internal Medicine 777 Hemlock Street, Msc 165, Macon, GA 31201 2018-04-18
1952819419 Putnam Dialysis LLC Clinic/Center 657 Hemlock Street, Suite 200, Macon, GA 31201 2018-01-18
1730604331 Graham Arthur Mercier Surgery 169 Ashley Ave., Room 202 Main Hospital Msc 333, Charleston, SC 31201 2017-08-04
1376075705 Diamond Jude Internal Medicine 777 Hemlock Street Msc #104, Macon, GA 31201 2017-04-03
1174055263 Carol Roobin Bashuk Hearing Instrument Specialist 634 First Street, Macon, GA 31201 2017-03-29
1144752411 Hubert Pare Student in an Organized Health Care Education/Training Program 777 Hemlock Street, Msc# 165, Macon, GA 31201 2017-03-28
1548613789 Michael Daugherty Counselor 1873 Hardeman Ave, Suite 1, Macon, GA 31201 2016-07-22
1316317993 4front Healthcare of Middle Georgia, LLC Hospice Care, Community Based 682 1st St, Macon, GA 31201 2015-09-25
1881073054 Andrew Lee Drahos Surgery 777 Hemlock St # 140, Macon, GA 31201 2015-05-21
1720474158 April Nicole Colley Nurse Practitioner 1014 Forsyth Street, Macon, GA 31201 2015-04-13
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Taxonomy Information

Taxonomy Code 207RI0011X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Interventional Cardiology

Taxonomy Definition

An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/ Board Certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. ACGME Accredited Residency Program Requirements: 1 year of training plus a prerequisite of 3 years Internal Medicine, 3 years Cardiovascular Disease for a total of 7 years. ABMS Approved Subspecialty Certificate (Internal Medicine)

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1720080443 Stephen Ashley Noller Internal Medicine 770 Pine St, Suite 480, Macon, GA 31201-2173 2005-08-12

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1669019394 Champ Vascular, LLC Internal Medicine 1825 Highway 34 E Ste 3400, Newnan, GA 30265-6423 2019-12-02
1174006159 Kendall M Griffith Md LLC Internal Medicine 1497 Fair Rd Ste 311, Statesboro, GA 30458-0828 2018-09-14
1558869826 Coordinated Health of Ga, LLC Internal Medicine 10 Glenlake Pkwy Ste 130c, Atlanta, GA 30328-3495 2018-01-31
1447559604 David Brendan Casey Internal Medicine 1700 Tree Ln Ste 100, Snellville, GA 30078-6749 2011-03-26
1730404120 Deepali Nivas Tukaye Internal Medicine 1505 Northside Blvd Ste 3400, Cumming, GA 30041-8223 2010-03-29
1659560647 Oduwole Organization Inc Internal Medicine 1415 Highway 85 N Ste 310-296, Fayetteville, GA 30214-7738 2007-10-16
1053487462 Tiftarea Cardiology Internal Medicine 907 E. 18th St, Ste 100, Tifton, GA 31794 2006-11-28
1255412094 Jeetendra B Patel Internal Medicine 1301 Sigman Rd Ne Ste 200, Conyers, GA 30012 2006-10-18
1811082605 Cardiac Disease Specialists, PC Internal Medicine 296 Merchants Sq, Dallas, GA 30132-5029 2006-10-04
1770508756 Hunt Dandridge Anderson Internal Medicine 4500 Hospital Blvd, Suite 230, Roswell, GA 30076-0003 2006-07-12
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Competitor

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City MACON
Zip Code 31201

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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