Individual
FATIMA ALTAF SHAIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5645 MAIN ST, FLUSHING, NY 11355
(718) 670-1286
Mailing address
5645 MAIN ST, FLUSHING, NY 11355-5045
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
25MA11053700
NJ
207RC0000X
Cardiovascular Disease Physician
Primary
25MA11053700
NJ
Other
Enumeration date
03/29/2014
Last updated
03/27/2023
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