Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RR0500X | Rheumatology | 44637-20 | WI |
NPI | 1134220254 |
---|---|
Provider Name | Zaheeruddin Sheikh |
First Address | Appleton, WI 54912-8003 |
Second Address | Appleton, WI 54911-8735 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/09/2006 |
Last Update Date | 08/11/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
H72291 | (02) | WI |