Healthcare Provider Details

I. General information

NPI: 1003201484
Provider Name (Legal Business Name): ANIQA SHAHRIER MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/01/2015
Last Update Date: 09/12/2023
Certification Date: 09/12/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3003 W DR MARTIN LUTHER KING JR BLVD FL 3
TAMPA FL
33607-6307
US

IV. Provider business mailing address

3003 W DR MARTIN LUTHER KING JR BLVD FL 3
TAMPA FL
33607-6307
US

V. Phone/Fax

Practice location:
  • Phone: 877-537-4787
  • Fax:
Mailing address:
  • Phone: 877-537-4787
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RA0002X
TaxonomyAdult Congenital Heart Disease Physician
License NumberME164307
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code2080P0202X
TaxonomyPediatric Cardiology Physician
License NumberME164307
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: