Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0106X | Orthopaedic Hand Surgeon | PENDING | AZ |
NPI | 1316149131 |
---|---|
Provider Name | Shoaib I Sheikh |
First Address | Tucson, AZ 85706-7124 |
Second Address | Tucson, AZ 85711-1847 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/06/2007 |
Last Update Date | 11/02/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
241656 | (05) | AZ |
P00439225 | RAILROAD MEDICARE (01) | AZ |