FAWAD A. SHAHEEN (NPI# 1508015207) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508015207 |
| Entity Type | Individual |
| Full Name | FAWAD A. SHAHEEN |
| Credential | MD |
| Practice Address |
335 31st St S St Petersburg FL 33712-1419 |
| Mailing Address |
Po Box 636256 Central Credentialing Cincinnati OH 45263-0001 |
| Practice Telephone | 7272897139 |
| Practice Fax Number | 7272897140 |
| Mailing Telephone | 5135855504 |
| Mailing Fax Number | 5135855511 |
| Enumeration Date | 2008-09-17 |
| Last Update Date | 2020-03-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
ME111493 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | MEDICARE | HP383U | 01 |
| FL | PENDING | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1350 Hickory St, Melbourne, FL 329013224 | 3214341771 | 3214341775 |
| Street Address |
335 31ST ST S |
| City | ST PETERSBURG |
| State | FL |
| Zip Code | 33712-1419 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215111240 | Neurointerventional Associates Pa | Radiology | 335 31st St S, St Petersburg, FL 33712-1419 | 2007-12-27 |
| 1548492325 | Hasmukh J Prajapati | Radiology | 335 31st St S, St Petersburg, FL 33712 | 2009-08-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831663616 | Courtney Nicole West | Community Health Worker | 2335 22nd Ave S # 4, Saint Petersburg, FL 33712 | 2019-01-15 |
| 1053820266 | Tameka Flowers | Nurse Practitioner | 1719 Dayton Street South, Saint Petersburg, FL 33712 | 2017-09-20 |
| 1871030445 | Telesa Andrea Reddick | Specialist | 1407 22nd Street South, St Pete, FL 33712 | 2017-01-20 |
| 1104286715 | Touched By Faith Inc | Community/Behavioral Health | 2600 4th St, Saint Petersburg, FL 33712 | 2016-02-25 |
| 1457758476 | Chris Wendling | Pharmacist | 2620 Desoto Way S, St Petersburg, FL 33712 | 2014-11-20 |
| 1700217239 | Crystal Eva | Adult Companion | 2132 68th Ter S, St Petersburg, FL 33712 | 2013-12-10 |
| 1144598152 | Tien Minh Tran | Pharmacist | 3350 Central Avenue, St Petersburg, FL 33712 | 2011-12-05 |
| 1588947410 | Aru Richardson | Counselor | 555 31st Street South, Saint Petersburg, FL 33712 | 2011-09-27 |
| 1588990063 | Garrett A Babbs | Physician Assistant | 1344 22nd St South, St Petersburg, FL 33712 | 2009-10-19 |
| 1225216260 | Charlie Waller Colquitt | Pharmacist | 1344 22nd St So, St Petersburg, FL 33712 | 2008-02-01 |
| Find all providers in zip 33712 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871919613 | Sheridan Radiology Services of Central Florida, Inc. | Radiology | 960 Monterey Pt Ne, St Petersburg, FL 33704-2319 | 2014-03-17 |
| 1750717500 | Sheridan Radiology Services of Central Florida, Inc. | Radiology | 131 Cordova Blvd Ne, St Petersburg, FL 33704-3011 | 2013-09-24 |
| 1407280126 | Sheridan Radiology Services of Central Florida, Inc. | Radiology | 117 Bay Point Dr Ne, St Petersburg, FL 33704-3805 | 2013-08-29 |
| 1265871917 | Sheridan Radiology Services of Central Florida, Inc. | Radiology | 1297 Eden Isle Dr Ne, St Petersburg, FL 33704-1709 | 2013-06-17 |
| 1558502039 | Nasser Razack., M.d., Pa. | Radiology | 5338 - 1st Avenue North, St Petersburg, FL 33710 | 2009-03-13 |
| 1215095401 | John D. Bartone | Radiology | 200 2nd Ave S, #504, St Petersburg, FL 33701-4313 | 2006-12-04 |
| 1013008713 | Richard A. Leverone | Radiology | 5136 Central Ave, St Petersburg, FL 33707 | 2006-09-27 |
| 1225141328 | Nasser Razack | Radiology | 335 31st Street South, St Petersburg, FL 33712-1419 | 2006-08-16 |
| 1477586014 | George Philip Ciporkin | Radiology | 475 2nd St N, Unit # 701, St Petersburg, FL 33701-3029 | 2006-07-08 |
| 1376585596 | Lori Keith Taylor | Radiology | 332 Belleair Dr Ne, St Petersburg, FL 33704-2437 | 2006-06-12 |
| Find all providers in ST PETERSBURG | ||||
| City | ST PETERSBURG |
| Zip Code | 33712 |
Please comment or provide details below to improve the information on FAWAD A. SHAHEEN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.