Shaik, Imtiazuddin
Shaik, Imtiazuddin is an individual health care provider with primary practice located at 9430 Turkey Lake Rd Ste 114 , Orlando FL 32819-8015. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Transplant Surgery, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Shaik, Imtiazuddin can be contacted via phone (407) 354-1202.Contact Information
Primary practice address
9430 Turkey Lake Rd Ste 114
Orlando FL 32819-8015
Phone: (407) 354-1202
Fax: (407) 351-8801
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Transplant Surgery | 204F00000X | A121450 | California |
| Allopathic & Osteopathic Physicians / Transplant Surgery | 204F00000X | ME126757 | Florida |
| Allopathic & Osteopathic Physicians / Transplant Surgery | 204F00000X | 275722 | New York |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | 57014187 | Ohio |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | ME126757 | Florida |
Profile Details
| NPI number | 1194981498 |
|---|---|
| LBN Legal business name | Shaik, Imtiazuddin |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 6th, 2008 |
| Last updated | Apr 25th, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1194981498 | NPPES |
| Florida | MEDICAID | 018738400 | |
| Florida | MEDICAID | 1194981498 |
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