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Individual

SHAUKAT IBRAHIM SHAIKH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
400 PINELLAS ST, SUITE 300, CLEARWATER, FL 33756-3312
(727) 447-8100
(727) 461-2603
Mailing address
4371 VERONICA S SHOEMAKER BLVD, ATTN: CREDENTIAL DEPARTMENT, FORT MYERS, FL 33916-2216
(239) 274-8200
(239) 278-3350

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
28515
SC
207RH0003X
Hematology & Oncology Physician
28515
SC
207RH0003X
Hematology & Oncology Physician
Primary
ME97011
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
277559000
FL
01
P00663690
RR MCR
FL
Enumeration date
07/30/2006
Last updated
11/13/2012
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