Dr. Imtiazuddin Shaik, MD
Surgery in Orlando, FL. Individual provider (NPI-1).
NPI number1194981498
StatusActive
Last updated in NPPESApr 25, 2023
Details
- NPI
- 1194981498
- Entity type
- Individual (NPI-1)
- Name
- Dr. Imtiazuddin Shaik
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 6, 2008
- Certification date
- Apr 25, 2023
- Last updated
- Apr 25, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208600000X | Surgery | ME126757 | FL | Yes |
| 204F00000X | Transplant Surgery | A121450 | CA | |
| 204F00000X | Transplant Surgery | ME126757 | FL | |
| 204F00000X | Transplant Surgery | 275722 | NY | |
| 390200000X | Student in an Organized Health Care Education/Training Program | 57014187 | OH |
Practice location
9430 Turkey Lake Rd Ste 114Orlando, FL 32819-8015
Phone 407-354-1202 · Fax 407-351-8801
Mailing address
9430 Turkey Lake Rd Ste 114Orlando, FL 32819-8015
Phone 407-354-1202 · Fax 407-351-8801
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