Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RA0201X | Internist - Allergy & Immunology | 17952 | WV |
NPI | 1609802644 |
---|---|
Provider Name | Nasim Ahmad Sheikh |
First Address | South Charleston, WV 25309 |
Second Address | South Charleston, WV 25309 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/06/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0077285000 | (05) | WV |
F83736 | (02) |