Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RG0100X | Gastroenterologist | 35078071 | OH |
NPI | 1043282239 |
---|---|
Provider Name | Mr. Tariq I Sheikh |
First Address | Lima, OH 45806-1358 |
Second Address | Lima, OH 45806-1444 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/02/2006 |
Last Update Date | 09/10/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2209185 | (05) | OH |
F69821 | (02) | OH |