Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YS0123X | Facial Plastic Surgeon | G62408 | CA |
NPI | 1316006208 |
---|---|
Provider Name | Dr. Arif J Shaikh |
First Address | Palm Desert, CA 92261-0034 |
Second Address | Bermuda Dunes, CA 92203-9215 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/12/2006 |
Last Update Date | 09/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00G62408 | (05) | CA |
B56531 | (02) | CA |