DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. SHAIK EJAZUDDIN, MD

Active Sole Proprietor

DR. SHAIK EJAZUDDIN, MD is a Internal Medicine healthcare provider located in TAVARES, Florida. NPI 1073501185 is currently active in the NPPES registry. Verify at CMS.

Internal Medicine · TAVARES, FL

Registration Details

NPI Number
1073501185
Provider Type
Individual
Gender
Male
NPI Issued
Oct 12, 2005 (20.854594832297 yrs)
Last Updated
Aug 31, 2020
Licenses
ME74544 (FL)
ME74544 (FL)
Sole Proprietor
Yes

Practice Information

Address
1741 DAVID WALKER DR
TAVARES, FL, 327785745
Browse FL providers · Browse ZIP 32778
Phone
3527428836
Primary Specialty
Internal Medicine
207R00000X
Additional Specialty
Internal Medicine

Other Internal Medicine Providers in TAVARES, FL

Name Credential NPI
CELESTINO DAVID SANTI DO 1164427332
CARLOS F CHANG M.D. 1922005016
COREY H HENDERSON MD 1346248903
CYNTHIA A LAROE MD 1073500435
SUJATHA BASKAR MD 1699764910
DR. CESAR ARMANDO UNYON M.D. 1053396309
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.