Provider Demographics
NPI:1174581649
Name:AIAD, SHAHIR (MD)
Entity type:Individual
Prefix:
First Name:SHAHIR
Middle Name:
Last Name:AIAD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 8000
Mailing Address - Street 2:DEPT 836
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14267
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:222 GENESEE ST
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14203
Practice Address - Country:US
Practice Address - Phone:716-855-2866
Practice Address - Fax:716-855-2860
Is Sole Proprietor?:No
Enumeration Date:2006-05-03
Last Update Date:2008-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY20712412085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
000526046007OtherBLUE SHIELD OF WESTERN NY
300138407OtherRAILROAD MEDICARE
NY02082635Medicaid
00027115102OtherUNIVERA
5611011OtherINDEPENDANT HEALTH
P00003637OtherRAILROAD MEDICARE
00011300701OtherUNIVERA
000526046009OtherBLUE SHIELD WESTERN NY
145788FFOtherPREFERRED CARE
NY2071249WOtherWORKERS COMPENSATION
000526046013OtherBLUE SHIELD OF WESTERN NY
000526046007OtherBLUE SHIELD OF WESTERN NY
145788FFOtherPREFERRED CARE
00011300701OtherUNIVERA
NYCC5593Medicare PIN