Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Shafique Ahmad, MD

Individual provider Pediatrics Physician · NPI 1700973229

Dr. Shafique Ahmad, MD is a Pediatrics Physician in Granite City, Illinois. Licensed in Illinois. Registered with an NPI since 2006.

Licensed in
IL
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3165 Myrtle Ave Ste 2
Granite City, IL 62040-5012
Phone: (618) 876-7500
Fax: (618) 876-0807
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 036048376 (IL)

Record details

NPI number1700973229
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 6, 2006
Last updated in NPPESJanuary 26, 2015

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