| Alexander Shiman MD PA | |
|
7421 N University Dr Suite 203 Tamarac FL 33321-2977 | |
| (954) 722-3200 | |
| (954) 726-0188 |
| Full Name | Alexander Shiman MD PA |
|---|---|
| Speciality | Internal Medicine |
| Location | 7421 N University Dr, Tamarac, Florida |
| Authorized Official Name and Position | Alexander Shiman (PRESIDENT) |
| Authorized Official Contact | 9547223200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Alexander Shiman MD PA 7421 N University Dr Suite 203 Tamarac FL 33321-2977 Ph: (954) 722-3200 | Alexander Shiman MD PA 7421 N University Dr Suite 203 Tamarac FL 33321-2977 Ph: (954) 722-3200 |
| NPI Number | 1578829263 |
|---|---|
| Provider Enumeration Date | 04/06/2012 |
| Last Update Date | 04/06/2012 |
| Medicare PECOS PAC ID | 7315195187 |
|---|---|
| Medicare Enrollment ID | O20120920000107 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578829263 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
| Provider Name | Alexander Shiman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336157494 PECOS PAC ID: 4688822455 Enrollment ID: I20120928000177 |
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