Provider Demographics
NPI:1629060876
Name:SACHEDINA, AZEEM M (MD)
Entity Type:Individual
Prefix:
First Name:AZEEM
Middle Name:M
Last Name:SACHEDINA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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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:2005-08-15
Last Update Date:2016-08-12
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLME47063208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL30489OtherMEDICA
FLP01266940OtherRAILROAD MCR
FL5540864OtherAETNA
FLF00048532602OtherUNITED HEALTHCARE
FL5888407OtherCIGNA
RI7562765OtherAETNA
FL94579OtherBCBS OF FL
FLP00396OtherFREEDOM HEALTH
FL1193458OtherWELLCARE
FLP511070OtherOPTIMUM
FL101294OtherAVMED
FL2676OtherDIMENSIONS HEALTH
FL042186300Medicaid
FLP0008868OtherFLORIDA HEALTHCARE PLUS
FLF00048532602OtherUNITED HEALTHCARE
FL94579OtherBCBS OF FL