Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 204E00000X | Oral & Maxillofacial Surgeon | DN18005 | FL |
N | 204E00000X | Oral & Maxillofacial Surgeon | ME129272 | FL |
NPI | 1588854053 |
---|---|
Provider Name | Dr. Jason Sheikh |
First Address | West Palm Beach, FL 33409-4762 |
Second Address | West Palm Beach, FL 33409 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/07/2007 |
Last Update Date | 15/10/2018 |