Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Shaik Ejazuddin, MD

Individual provider Hospitalist Physician · NPI 1073501185

Dr. Shaik Ejazuddin, MD is an Internal Medicine in Tavares, Florida. Qualified in 1987, 39 years ago. Practices with Mid Florida Hospital Specialists PA, a 53-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
39
Licensed in
FL
In the registry since
2005
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1741 David Walker Dr
Tavares, FL 32778-5745
Phone: (352) 742-8836
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence ME74544 (FL)
Hospitalist Physician Taxonomy 208M00000X · Licence ME74544 (FL)

Record details

NPI number1073501185
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedOctober 12, 2005
Last updated in NPPESAugust 31, 2020
Certification dateAugust 31, 2020
Mailing address5728 Major Blvd, Ste 528, Orlando, FL 32819-7962

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Also practisesHOSPITALIST
Medical schoolOTHER
Graduated 1987 (39 years in practice)
Group practice Mid Florida Hospital Specialists Pa — 53 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

Other providers in Tavares