Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | 35-091279 | OH |
Y | 111NI0900X | Internist | 35-091279 | OH |
NPI | 1003082785 |
---|---|
Provider Name | Saba Sheik |
First Address | Fairlawn, OH 44333-9297 |
Second Address | Fairlawn, OH 44333-9297 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/05/2008 |
Last Update Date | 31/03/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000000565969 | ANTHEM (01) | OH |
156700009001 | MEDICAL MUTUAL (01) | OH |
2848762 | (05) | OH |
P00661476 | RAILROAD MEDICARE (01) | OH |