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Dr. Ahmad Shaker, MD
Student in an Organized Health Care Education/Training Program in St Petersburg, Florida
NPI 1174767917

Ahmad Shaker is a Student in an Organized Health Care Education/Training Program based in St Petersburg, FL. Ahmad Shaker practices in St Petersburg, FL and has the professional credentials of MD. The NPI Number for Ahmad Shaker is 1174767917 and holds a License No. ME124862 (Florida).

The current practice location address for Ahmad Shaker is 620 10Th St N, St Petersburg, FL and can be reached out via phone at 727-824-8206 and via fax at 727-824-7110.

Location: 620 10Th St N, St Petersburg, FL, 33705-1407
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1174767917
Provider Name
Ahmad Shaker
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
620 10Th St N, St Petersburg, FL, 33705-1407
Phone Number
727-824-8206
Fax Number
727-824-7110
Provider Enumeration Date
04/23/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
018178200 05 FL
institution
Provider Business Practice Location Address Details
Address
620 10Th St N
City
St Petersburg
State
Florida
Zip
33705-1407
Phone Number
727-824-8206
Fax Number
727-824-7110
person
Provider Business Mailing Address Details
Address
620 10Th St N
City
St Petersburg
State
Florida
Zip
33705-1407
Phone Number
727-824-8206
Fax Number
727-824-7110
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Hematology & Oncology
Taxonomy
207RH0003X
License No.
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Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
ME124862 (Florida)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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