Provider Demographics
NPI:1104251321
Name:FAHEEM, SHEIKH MUHAMMAD (MD)
Entity type:Individual
Prefix:DR
First Name:SHEIKH
Middle Name:MUHAMMAD
Last Name:FAHEEM
Suffix:
Gender:
Credentials:MD
Other - Prefix:DR
Other - First Name:SHEIKH
Other - Middle Name:MUHAMMAD
Other - Last Name:FAHEEM
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:611 W PARK ST
Mailing Address - Street 2:
Mailing Address - City:URBANA
Mailing Address - State:IL
Mailing Address - Zip Code:61801-2529
Mailing Address - Country:US
Mailing Address - Phone:217-383-3311
Mailing Address - Fax:
Practice Address - Street 1:601 WEST UNIVERSITY AVENUE
Practice Address - Street 2:
Practice Address - City:URBANA
Practice Address - State:IL
Practice Address - Zip Code:61801-2500
Practice Address - Country:US
Practice Address - Phone:217-383-3440
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-09-06
Last Update Date:2025-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA79655204D00000X, 2084N0400X
IL125064288207R00000X
IL036-1471562084N0400X
FLME131696207W00000X, 207WX0109X
IL036147156207WX0109X
WI8292084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
No204D00000XAllopathic & Osteopathic PhysiciansNeuromusculoskeletal Medicine & OMM
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
No207WX0109XAllopathic & Osteopathic PhysiciansOphthalmologyNeuro-ophthalmology