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
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