Provider Demographics
NPI:1053357954
Name:SHAIKH, SAAD (MD)
Entity type:Individual
Prefix:
First Name:SAAD
Middle Name:
Last Name:SHAIKH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 861639
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32886-1639
Mailing Address - Country:US
Mailing Address - Phone:972-791-1224
Mailing Address - Fax:972-819-0050
Practice Address - Street 1:44 LAKE BEAUTY DR
Practice Address - Street 2:SUITE 300
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32806-2042
Practice Address - Country:US
Practice Address - Phone:407-425-7188
Practice Address - Fax:407-423-9040
Is Sole Proprietor?:No
Enumeration Date:2006-06-21
Last Update Date:2007-11-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME88272207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLP00045684OtherRR MEDICARE
FL71682ZMedicare PIN
FLP00045684OtherRR MEDICARE