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Individual

SHMAILA ISHAQ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
6405 N FEDERAL HWY, SUITE 300, FORT LAUDERDALE, FL 33308-1412
(954) 958-5220
(954) 528-5218
Mailing address
11511 SHADOW CREEK PKWY, PEARLAND, TX 77584-7298
(713) 442-4997

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
S0302
TX
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
ME 107147
FL
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
S0302
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
004054700
FL
01
14H6M
BCBS
FL
Enumeration date
12/01/2005
Last updated
11/02/2021
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