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:
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Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194981498 NPPES
Florida MEDICAID 018738400
Florida MEDICAID 1194981498

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