Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RH0000X | Hematologist | ME131216 | FL |
N | 207RH0003X | Hematology & Oncology | ME131216 | FL |
Y | 207RX0202X | Medical Oncology | ME131216 | FL |
NPI | 1356631287 |
---|---|
Provider Name | Raji M Shameem |
First Address | Fort Myers, FL 33916-2216 |
Second Address | Lake Mary, FL 32746-2115 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/04/2011 |
Last Update Date | 20/11/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
021046600 | (05) | FL |
2AWM1 | FLORIDA BLUE (01) | FL |
IZ944Z | MEDICARE (01) | FL |