Organization
SHAHEDA QAIYUMI, M.D. P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHAHEDA QAIYUMI M.D. (PRESIDENT)
(352) 331-2890
Entity
Organization
Contact information
Practice address
7109 NW 11TH PL STE A, GAINESVILLE, FL 32605-3141
(352) 331-2890
(352) 331-2915
Mailing address
7109 NW 11TH PL STE A, GAINESVILLE, FL 32605-3141
(352) 331-2890
(352) 331-2915
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
ME 0042491
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
94896
BCBS
FL
Enumeration date
07/23/2006
Last updated
02/28/2008
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