Individual provider · Type 1 NPI

Shaka Joaquin Doyle Bahadu, MD

Student in an Organized Health Care Education/Training Program · Miami, FL

NPI number 1053757302 Active

Practice location

1611 NW 12th Ave
Miami, FL 33136-1005

Call (305) 585-5215 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1053757302

Shaka Joaquin Doyle Bahadu, MD's National Provider Identifier is 1053757302, issued on May 14, 2013. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Miami, FL. The record was last updated on May 14, 2013.