Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RG0100X | Gastroenterologist | ME81800 | FL |
NPI | 1043209695 |
---|---|
Provider Name | Aniq Shaikh |
First Address | Orlando, FL 32825-4437 |
Second Address | Orlando, FL 32825-4437 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/10/2005 |
Last Update Date | 01/08/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
003310700 | (05) | FL |
G15762 | (02) |