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NPI Code Detail

MEDICARE: DR. SHAHEEN MIZYED

MEDICARE: DR. SHAHEEN MIZYED
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine PhysicianME149929FL
2207R00000XInternal Medicine Physician46942OK

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1750886990
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SHAHEEN MIZYED
Provider Business Mailing Address
First Line : 2900 N MILITARY TRL STE 200
Second Line :
City : BOCA RATON
State : FL
Zip : 33431-6308
Country : US
Telephone Number : 561-955-2570
Fax Number : 561-955-2572
Provider Business Practice Location Address
First Line : 700 NE 13TH ST
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73104-5004
Country : US
Telephone Number : 405-271-6651
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/29/2018
Last Update Date : 05/04/2026

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Directions to “ DR. SHAHEEN MIZYED ” Practice Location

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