Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Q00000X | Family Doctor | 036136381 | IL |
N | 207Q00000X | Family Doctor | 64553-20 | WI |
Y | 207QA0401X | Family Doctor - Addiction Medicine | 00293900 | NY |
N | 207QA0401X | Family Doctor - Addiction Medicine | 055269 | CT |
NPI | 1902105588 |
---|---|
Provider Name | Daanish Khalid Shaikh |
First Address | Brooklyn, NY 11201-1903 |
Second Address | Brooklyn, NY 11238-2347 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/03/2011 |
Last Update Date | 21/10/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00293900 | MEDICAL LICENSE (01) | NY |
036136381 | MEDICAL LICENSE (01) | IL |
055269 | STATE (01) | CT |