MEDICARE: VAHIDA BEGUM SHAIK

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	225100000X	Physical Therapist	036391	NY

General Provider Information

NPI Number	:	1144634627
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VAHIDA BEGUM SHAIK

Provider Business Mailing Address
First Line	:	5860 QUARTER MOON DR
Second Line	:
City	:	JAMESVILLE
State	:	NY
Zip	:	13078-6470
Country	:	US
Telephone Number	:	315-800-8632
Fax Number	:

Provider Business Practice Location Address
First Line	:	5860 QUARTER MOON DR
Second Line	:
City	:	JAMESVILLE
State	:	NY
Zip	:	13078-6470
Country	:	US
Telephone Number	:	315-800-8632
Fax Number	:

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

Provider Enumeration Date	:	06/12/2014
Last Update Date	:	03/26/2026

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Directions to “ VAHIDA BEGUM SHAIK ” Practice Location

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