Organization
NORTHSIDE CARDIOLOGY
Active
Organization
NORTHSIDE CARDIOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAHID SHAFIQ MALIK MD (PRESIDENT)
(813) 633-9700
Entity
Organization
Contact information
Practice address
733 CORTARO DR, RUSKIN, FL 33573-6812
(813) 633-9700
(813) 633-9733
Mailing address
17935 CACHET ISLE DR, TAMPA, FL 33647-2703
(813) 633-9700
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
ME 47456
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DD9832
RAILROAD MEDICARE
FL
Enumeration date
10/07/2006
Last updated
03/21/2018
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up