Shahul Hameed Riazudeen Md Pa | |
16541 S Us Highway 301 Wimauma FL 33598-2032 | |
(813) 633-1100 | |
(813) 633-1152 |
Full Name | Shahul Hameed Riazudeen Md Pa |
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Speciality | Internal Medicine |
Location | 16541 S Us Highway 301, Wimauma, Florida |
Authorized Official Name and Position | Shahul Hameed Riazudeen (PRESIDENT) |
Authorized Official Contact | 8136331100 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Shahul Hameed Riazudeen Md Pa Po Box 5849 Sun City Center FL 33571-5849 Ph: (813) 633-1100 | Shahul Hameed Riazudeen Md Pa 16541 S Us Highway 301 Wimauma FL 33598-2032 Ph: (813) 633-1100 |
NPI Number | 1144343690 |
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Provider Enumeration Date | 04/09/2007 |
Last Update Date | 04/10/2020 |
Medicare PECOS PAC ID | 3779676481 |
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Medicare Enrollment ID | O20070911000204 |
Identifier | Type | State | Issuer |
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1144343690 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal Medicine | ME93264 (Florida) | Primary |
Provider Name | Shahul Riazudeen |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1932163888 PECOS PAC ID: 1759315195 Enrollment ID: I20050924000058 |
Provider Name | Irena Stefan |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1871140087 PECOS PAC ID: 9739518309 Enrollment ID: I20200402000088 |
Rocks And Roses Optimal Health, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 16915 Scuba Crest St, Wimauma, FL 33598 Phone: 901-201-1963 | |
Shot Health Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10845 Standing Stone Dr, Wimauma, FL 33598 Phone: 813-906-5020 | |