Active NPIIndividual provider

Dr. Shawn K Ahmad Chaustre, MD

Internal Medicine in Philadelphia, Pennsylvania

NPI Number1356901193
Practice location
245 N 15TH St Fl 6, Philadelphia, PA 19102-1198
Fax
—
Last updated
June 14, 2019

Shawn Khaliq Ahmad Chaustre is an Internal Medicine based in Philadelphia, PA. Shawn Khaliq Ahmad Chaustre practices in Philadelphia, PA and has the professional credentials of MD. The NPI Number for Shawn Khaliq Ahmad Chaustre is 1356901193 and holds a License No. MT218306 (PA). The current practice location address for Shawn Khaliq Ahmad Chaustre is 245 N 15TH St Fl 6, Philadelphia, PA 19102-1198 and can be reached out via phone at 215-762-7916.

Provider Profile Details

NPI Number
1356901193
Provider Name
Shawn Khaliq Ahmad Chaustre
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
245 N 15TH St Fl 6, Philadelphia, PA 19102-1198
Phone Number
215-762-7916
Primary Taxonomy
Internal Medicine · 207R00000X
Sole Proprietor
No
Provider Enumeration Date
June 14, 2019
Last Update Date
June 14, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
245 N 15TH St Fl 6
Philadelphia, PA 19102-1198
Zip
19102-1198
Phone Number
215-762-7916
Philadelphia, PA 19102Get directions →

Provider Business Mailing Address Details

Address
8201 Henry Ave Apt H13
Philadelphia, PA 19128-2207
City
Philadelphia
State
PA
Zip
19128-2207
Phone Number
732-666-1980

License Information

License Number
MT218306
License State
PA
Taxonomy
Internal Medicine · 207R00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Shawn K Ahmad Chaustre, MD?

The NPI number of Dr. Shawn K Ahmad Chaustre, MD is 1356901193. It was assigned on June 14, 2019 and is currently active in the NPPES registry.

What is the specialty of Dr. Shawn K Ahmad Chaustre, MD?

Dr. Shawn K Ahmad Chaustre, MD is registered under the primary taxonomy Internal Medicine (code 207R00000X), licensed in PA under license number MT218306.

Where does Dr. Shawn K Ahmad Chaustre, MD practice?

The practice location is 245 N 15TH St Fl 6, Philadelphia, PA 19102-1198. The office can be reached at 215-762-7916 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1356901193 directly on the NPPES registry website.

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