Individual
RAJI M SHAMEEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7472 DOCS GROVE CIR, ORLANDO, FL 32819-8010
(407) 241-1037
(321) 842-7966
Mailing address
7472 DOCS GROVE CIR, ORLANDO, FL 32819-8010
(407) 241-1037
(321) 842-7966
Taxonomy
Speciality
Code
Description
License number
State
207RH0000X
Hematology (Internal Medicine) Physician
ME131216
FL
207RX0202X
Medical Oncology Physician
FS2720680
PA
207RX0202X
Medical Oncology Physician
MD453183
PA
207RX0202X
Medical Oncology Physician
Primary
ME131216
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
021046600
—
FL
01
—
2AWM1
FLORIDA BLUE
FL
01
—
IZ944Z
MEDICARE
FL
Enumeration date
04/12/2011
Last updated
09/08/2023
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