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NPI Code Detail

MEDICARE: WASSI SHAIKH M.D.

MEDICARE: WASSI SHAIKH M.D.
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
1208VP0014XInterventional Pain Medicine PhysicianME165278FL
2207L00000XAnesthesiology PhysicianME165278FL
3207LP2900XPain Medicine (Anesthesiology) PhysicianME165278FL

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 : 1346771474
Entity Type Code : Individual
Provider Name (Legal Business Name) : WASSI SHAIKH M.D.
Provider Business Mailing Address
First Line : 1865 LPGA BLVD
Second Line :
City : DAYTONA BEACH
State : FL
Zip : 32117-7108
Country : US
Telephone Number : 386-255-4596
Fax Number : 386-258-3561
Provider Business Practice Location Address
First Line : 1865 LPGA BLVD
Second Line :
City : DAYTONA BEACH
State : FL
Zip : 32117-7108
Country : US
Telephone Number : 386-255-4596
Fax Number : 386-258-3561
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/21/2017
Last Update Date : 04/06/2026

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