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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
ME131022
FL
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
06/12/2026
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