Individual
DR. SADIQ S SHAIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-3500
(352) 273-8610
Mailing address
10140 CENTURION PKWY N, PROVIDER ENROLLMENT DEPARTMENT, JACKSONVILLE, FL 32256-0532
(904) 697-4127
(904) 697-5102
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
ME131022
AR
207L00000X
Anesthesiology Physician
S4231
TX
207LP3000X
Pediatric Anesthesiology Physician
59565
KY
207LP3000X
Pediatric Anesthesiology Physician
E-9933
AR
207LP3000X
Pediatric Anesthesiology Physician
ME131022
FL
207LP3000X
Pediatric Anesthesiology Physician
Primary
S4231
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
020557700
—
FL
Enumeration date
04/09/2008
Last updated
05/22/2025
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