Safder, Shaista Syeda

Safder, Shaista Syeda is an individual health care provider with primary practice located at 60 W Gore St , Orlando FL 32806-1141. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Gastroenterology, which is considered as her primary health care specialty. Safder, Shaista Syeda can be contacted via phone (321) 841-3338.

Contact Information

Primary practice address
60 W Gore St Orlando FL 32806-1141
Fax: (321) 841-2170
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Gastroenterology 2080P0206X ME104910 Florida
Allopathic & Osteopathic Physicians / Pediatric Gastroenterology 2080P0206X AU2866626-U156 Ohio

Profile Details

NPI number 1811181076
LBN Legal business name Safder, Shaista Syeda
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2007
Last updated Nov 10th, 2016 - about 9 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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Identifiers

StateTypeNumberIssuer
All States NPI 1811181076 NPPES
Florida Other ME104910 MEDICAL LICENSE
Florida MEDICAID 001136100 MEDICAL LICENSE

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