Healthcare Provider Details

I. General information

NPI: 1003444340
Provider Name (Legal Business Name): REEMA ISHTEIWY MD, PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/31/2020
Last Update Date: 04/07/2026
Certification Date: 04/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5370 UNIVERSITY PKWY
SARASOTA FL
34243-5800
US

IV. Provider business mailing address

1700 S TAMIAMI TRL
SARASOTA FL
34239-3555
US

V. Phone/Fax

Practice location:
  • Phone: 941-917-7575
  • Fax:
Mailing address:
  • Phone: 941-917-9000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0001X
TaxonomyRadiation Oncology Physician
License NumberME175046
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: