MEDICARE: REEMA ISHTEIWY MD, PHD

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
1	2085R0001X	Radiation Oncology Physician	ME175046	FL

General Provider Information

NPI Number	:	1003444340
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	REEMA ISHTEIWY MD, PHD

Provider Business Mailing Address
First Line	:	1700 S TAMIAMI TRL
Second Line	:
City	:	SARASOTA
State	:	FL
Zip	:	34239-3555
Country	:	US
Telephone Number	:	941-917-9000
Fax Number	:

Provider Business Practice Location Address
First Line	:	5370 UNIVERSITY PKWY
Second Line	:
City	:	SARASOTA
State	:	FL
Zip	:	34243-5800
Country	:	US
Telephone Number	:	941-917-7575
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/31/2020
Last Update Date	:	04/07/2026

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