Provider Demographics
NPI:1063414787
Name:SHEIKH, TANVEER AHMED (MD)
Entity type:Individual
Prefix:DR
First Name:TANVEER
Middle Name:AHMED
Last Name:SHEIKH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2900 N MILITARY TRL STE 150
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33431-6308
Mailing Address - Country:US
Mailing Address - Phone:561-241-4210
Mailing Address - Fax:561-241-4484
Practice Address - Street 1:2900 N MILITARY TRL STE 150
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33431-6308
Practice Address - Country:US
Practice Address - Phone:561-241-4210
Practice Address - Fax:561-241-4484
Is Sole Proprietor?:No
Enumeration Date:2005-08-12
Last Update Date:2024-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0030847207R00000X, 207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL045864300Medicaid
060025664OtherRAILROAD MEDICARE
060025664OtherRAILROAD MEDICARE
FL045864300Medicaid