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General NPI Number Information
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NPI Number | 1891938825
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Entity Type | Individual
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Provider Name | ALTAF H SHAIK M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/06/2009
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Last Update Date | 05/16/2025
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Provider Practice Location Address
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Address Line | 144 S OXFORD ST
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City | BROOKLYN
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State | NY
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Zip | 11217-1604
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Country | US
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Telephone | 718-638-0360
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Fax |
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Provider Business Mailing Address
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Address Line | 4370 KISSENA BLVD APT. #2D
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City | FLUSHING
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State | NY
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Zip | 11355-3769
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Country | US
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Telephone | 347-438-1134
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 252163-1
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License Number State | NY
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