Individual
DR. AHMAD SHAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
620 10TH ST N, ST PETERSBURG, FL 33705-1407
(727) 824-8206
(727) 824-7110
Mailing address
620 10TH ST N STE 2E, ST PETERSBURG, FL 33705-1407
(727) 824-8206
(727) 824-7110
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
ME124862
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
018178200
—
FL
Enumeration date
04/23/2009
Last updated
07/29/2022
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