Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RG0100X | Gastroenterologist | 18377 | SC |
NPI | 1023009644 |
---|---|
Provider Name | Shahzad H Sheikh |
First Address | Anderson, SC 29621-3334 |
Second Address | Anderson, SC 29621-3334 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/11/2005 |
Last Update Date | 06/03/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
183777 | (05) | SC |
G29924 | (02) | SC |