Shaker, Ahmad

Shaker, Ahmad is an individual health care provider with primary practice located at 620 10Th St N , St Petersburg FL 33705-1407. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hematology & Oncology, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Hematology & Oncology is his primary health care specialty. Shaker, Ahmad can be contacted via phone (727) 824-8206.

Contact Information

Primary practice address
620 10Th St N St Petersburg FL 33705-1407
Phone: (727) 824-8206
Fax: (727) 824-7110
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X ME124862 Florida
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1174767917
LBN Legal business name Shaker, Ahmad
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 23rd, 2009
Last updated Jul 29th, 2022 - about 2 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 1174767917 NPPES
Florida MEDICAID 018178200

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