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NPI Code Detail

MEDICARE: DR. ASIF RAZA SHAFIQ DO

MEDICARE:  DR. ASIF RAZA SHAFIQ  DO
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
1207T00000XNeurological Surgery PhysicianOS17994FL

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 : 1114346285
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ASIF RAZA SHAFIQ DO
Provider Business Mailing Address
First Line : 5800 49TH ST N STE S201
Second Line :
City : SAINT PETERSBURG
State : FL
Zip : 33709-2146
Country : US
Telephone Number : 727-605-1770
Fax Number : 727-605-1080
Provider Business Practice Location Address
First Line : 5800 49TH ST N STE S201
Second Line :
City : SAINT PETERSBURG
State : FL
Zip : 33709-2146
Country : US
Telephone Number : 727-605-1770
Fax Number : 727-605-1080
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/15/2014
Last Update Date : 07/25/2022

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Directions to “ DR. ASIF RAZA SHAFIQ DO” Practice Location

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