Organization Active NPI

Shaheda Qaiyumi, M.D. P.a.

  • Rheumatology Physician
  • Gainesville, FL
National Provider Identifier
1730101643
Registry record updated Feb 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
ME 0042491 Issued in FL
Legal business name
SHAHEDA QAIYUMI, M.D. P.A.
Practice address
7109 NW 11TH PL Ste a
Gainesville, FL 32605-3141
Phone
(352) 331-2890
Fax
(352) 331-2915
NPI assigned
Jul 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Shaheda Qaiyumi, M.D.
Title
President
Phone
(352) 331-2890

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RR0500X ME 0042491 FL Primary

Addresses

Primary practice location

7109 NW 11TH PL Ste a
Gainesville, FL 32605-3141

Mailing address

7109 NW 11TH PL Ste a
Gainesville, FL 32605-3141
Phone (352) 331-2890

Other identifiers 1

IdentifierTypeStateIssuer
94896OtherFLBCBS

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204156800000",
    "number": "1730101643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7109 NW 11TH PL STE A",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326053141",
            "telephone_number": "352-331-2890",
            "fax_number": "352-331-2915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7109 NW 11TH PL STE A",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326053141",
            "telephone_number": "352-331-2890",
            "fax_number": "352-331-2915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAHEDA QAIYUMI, M.D. P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-23",
        "last_updated": "2008-02-28",
        "status": "A",
        "authorized_official_last_name": "QAIYUMI",
        "authorized_official_first_name": "SHAHEDA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "352-331-2890",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": "FL",
            "license": "ME 0042491",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "94896",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.