Provider Demographics
NPI:1467416073
Name:SHAIKH, NAAZLI M (MD)
Entity Type:Individual
Prefix:
First Name:NAAZLI
Middle Name:M
Last Name:SHAIKH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:NAAZLI
Other - Middle Name:
Other - Last Name:MOHSIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:160 BOSTON AVE
Mailing Address - Street 2:
Mailing Address - City:ALTAMONTE SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:32701-4706
Mailing Address - Country:US
Mailing Address - Phone:407-834-7776
Mailing Address - Fax:407-837-0973
Practice Address - Street 1:7975 LAKE UNDERHILL RD STE 140
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32822-8203
Practice Address - Country:US
Practice Address - Phone:407-281-0866
Practice Address - Fax:407-281-9288
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-12
Last Update Date:2023-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME88809207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL269196500Medicaid