Provider Demographics
NPI:1689764789
Name:SHAIKH, ZAHIRABANU SHAUKAT (MD)
Entity Type:Individual
Prefix:
First Name:ZAHIRABANU
Middle Name:SHAUKAT
Last Name:SHAIKH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1753 BELLEAIR FOREST DR
Mailing Address - Street 2:APT D4
Mailing Address - City:BELLEAIR
Mailing Address - State:FL
Mailing Address - Zip Code:33756-7752
Mailing Address - Country:US
Mailing Address - Phone:843-580-9384
Mailing Address - Fax:727-230-0442
Practice Address - Street 1:300 PINELLAS ST
Practice Address - Street 2:
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33756-3804
Practice Address - Country:US
Practice Address - Phone:843-580-9384
Practice Address - Fax:727-230-0442
Is Sole Proprietor?:No
Enumeration Date:2006-10-13
Last Update Date:2011-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCTL28921207RI0200X
SC28921207RI0200X
FLME 99036207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCTL28921OtherSTATE MEDICAL LICENSE
FLME 99036OtherSTATE MEDICAL LICENSE