Individual
DR. IMTIAZUDDIN SHAIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9430 TURKEY LAKE RD STE 114, ORLANDO, FL 32819-8015
(407) 354-1202
(407) 351-8801
Mailing address
9430 TURKEY LAKE RD STE 114, ORLANDO, FL 32819-8015
(407) 354-1202
(407) 351-8801
Taxonomy
Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
275722
NY
204F00000X
Transplant Surgery Physician
A121450
CA
204F00000X
Transplant Surgery Physician
ME126757
FL
208600000X
Surgery Physician
Primary
ME126757
FL
390200000X
Student in an Organized Health Care Education/Training Program
57014187
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
018738400
—
FL
05
—
1194981498
—
CA
Enumeration date
08/06/2008
Last updated
04/25/2023
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