Shaik Ejazuddin MD

NPI 1073501185 - Internal Medicine - 207R00000X

NPI Details
NPI 1073501185
Gender Male
Enumeration Date 10/12/2005
Last Updated 12/14/2014
Entity Type Individual
Active Over 11 years ago
Practice Location
1741 DAVID WALKER DR
TAVARES FL, 32778-5745, US
Phone (352) 742-8836
Fax
Business Location
1741 DAVID WALKER DR
TAVARES FL, 32778-5745, US
Phone (352) 742-8836
Fax
Toxanomy
Taxonomy Code 207R00000X
License State Florida
License Number ME74544
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According to our database, Dr. Shaik Ejazuddin MD NPI is 1073501185, taxonomy code is 207R00000X and license number is ME74544, license state is located at Florida. Shaik Ejazuddin MD physically located at 1741 David Walker Dr, Tavares FL, 32778-5745. NPI Number Shaik Ejazuddin MD has the Individual type.

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1073501185 NPI number is provided on an as is basis without warranty of any kind. 1073501185 is maintained by the National Plan & Provider Enumeration System. The contents of Shaik Ejazuddin MD are for informational purposes only.