Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | 54834 | AZ |
Y | 111NI0900X | Internist | 54834 | AZ |
N | 207RH0002X | Hospice and Palliative Medicine | 54834 | AZ |
NPI | 1164760625 |
---|---|
Provider Name | Ayesha Shaikh |
First Address | Gilbert, AZ 85234 |
Second Address | Gilbert, AZ 85234 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/01/2013 |
Last Update Date | 01/06/2018 |