Provider Demographics
NPI:1841266723
Name:SHAFI, NAVEED (MD)
Entity type:Individual
Prefix:DR
First Name:NAVEED
Middle Name:
Last Name:SHAFI
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:PO BOX 10553
Mailing Address - Street 2:
Mailing Address - City:POMPANO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33061
Mailing Address - Country:US
Mailing Address - Phone:954-600-1670
Mailing Address - Fax:954-786-9210
Practice Address - Street 1:800 E CYPRESS CREEK RD STE 304
Practice Address - Street 2:
Practice Address - City:FT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33334-3522
Practice Address - Country:US
Practice Address - Phone:954-491-7758
Practice Address - Fax:954-938-5339
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-28
Last Update Date:2020-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME85328207R00000X, 207RS0010X
FLME0085328207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RS0010XAllopathic & Osteopathic PhysiciansInternal MedicineSports Medicine
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLCU477YMedicare PIN