Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | MD14186R | LA |
N | 111NI0900X | Internist | MD14186R | LA |
Y | 207RG0300X | Geriatric Medicine | MD14186R | LA |
NPI | 1144216961 |
---|---|
Provider Name | Mohammed Asif Sheikh |
First Address | Independence, LA 70443-2231 |
Second Address | Independence, LA 70443-2231 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/09/2005 |
Last Update Date | 29/04/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1104281 | (05) | LA |
H57543 | (02) |