| Shakira Husain Md Pa | |
|
100 Whetstone Pl Ste 206 St Augustine FL 32086-5774 | |
| (904) 217-3545 | |
| (904) 562-3282 |
| Full Name | Shakira Husain Md Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 100 Whetstone Pl, St Augustine, Florida |
| Authorized Official Name and Position | Shakira Husain (OWNER) |
| Authorized Official Contact | 9042173545 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shakira Husain Md Pa 100 Whetstone Pl St Augustine FL 32086-5774 Ph: (904) 296-1160 | Shakira Husain Md Pa 100 Whetstone Pl Ste 206 St Augustine FL 32086-5774 Ph: (904) 217-3545 |
| NPI Number | 1558557868 |
|---|---|
| Provider Enumeration Date | 09/20/2007 |
| Last Update Date | 05/03/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558557868 | NPI | - | NPPES |
| 003341600 | Medicaid | FL | |
| DE3583 | Other | FL | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME68353 (Florida) | Primary |
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