Provider Demographics
NPI:1740439330
Name:SHALMIYEV, VLADISLAV (MD)
Entity type:Individual
Prefix:DR
First Name:VLADISLAV
Middle Name:
Last Name:SHALMIYEV
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 1:7800 SHERIDAN ST RM 374
Mailing Address - Street 2:
Mailing Address - City:PEMBROKE PINES
Mailing Address - State:FL
Mailing Address - Zip Code:33024-2536
Mailing Address - Country:US
Mailing Address - Phone:954-883-7025
Mailing Address - Fax:954-883-7015
Practice Address - Street 1:7800 SHERIDAN STREET
Practice Address - Street 2:ROOM 374
Practice Address - City:PEMBROKE PINES
Practice Address - State:FL
Practice Address - Zip Code:33024-2451
Practice Address - Country:US
Practice Address - Phone:954-883-7025
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-09-18
Last Update Date:2021-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME123847208M00000X, 208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist