Ejazuddin, Shaik

Ejazuddin, Shaik is an sole proprietor health care provider with primary practice located at 1741 David Walker Dr , Tavares FL 32778-5745. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Ejazuddin, Shaik can be contacted via phone (352) 742-8836.

Contact Information

Primary practice address
1741 David Walker Dr Tavares FL 32778-5745
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X ME74544 Florida
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME74544 Florida

Profile Details

NPI number 1073501185
LBN Legal business name Ejazuddin, Shaik
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 12th, 2005
Last updated Aug 31st, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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