Provider Demographics
NPI:1477788974
Name:SACHEDINA, NASHEER AZEEM (MD)
Entity Type:Individual
Prefix:DR
First Name:NASHEER
Middle Name:AZEEM
Last Name:SACHEDINA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2234 COLONIAL BLVD
Mailing Address - Street 2:ATTN: PAYER CONTRACTING & RELATIONS
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33907-1412
Mailing Address - Country:US
Mailing Address - Phone:239-931-7342
Mailing Address - Fax:239-931-7385
Practice Address - Street 1:1670 N UNIVERSITY DR
Practice Address - Street 2:SUITE A
Practice Address - City:CORAL SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33071-6027
Practice Address - Country:US
Practice Address - Phone:954-227-6747
Practice Address - Fax:954-227-6783
Is Sole Proprietor?:No
Enumeration Date:2009-05-28
Last Update Date:2016-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMT195582208800000X, 390200000X
FLME120277208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLP958307OtherOPTIMUM
FL012907200Medicaid
FLP1019780OtherFREEDOM
FL4149630OtherAETNA
FLNHP-F00520438601OtherUNITED HEALTHCARE
FL105648OtherWELLCARE
FLHW522ZMedicare PIN