Most Relevant Information
Provider Data
| NPI Number: | 1003660903 |
| Provider Name: | SHUJA AHMED SHAIK M.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/16/2024 |
| Last Updated: | 10/30/2024 |
Provider Practice Location
760 BROADWAY
BROOKLYN
NY
11206
Practice Location Phone/Fax
| Phone: | 7189638779 |
| Fax: |
Provider Mailing Location
760 BROADWAY WOODHULL HOSPITAL
PEDIATRIC ADMINISTRATION
BROOKLYN
NY
11206
Provider Mailing Phone/Fax
| Phone: | 7189638779 |
| Fax: | 7189637957 |