Provider Demographics
NPI:1154602795
Name:SABRI H SHEIKHA MD PHD PA
Entity type:Organization
Organization Name:SABRI H SHEIKHA MD PHD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SABRI
Authorized Official - Middle Name:H
Authorized Official - Last Name:SHEIKHA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:972-772-3630
Mailing Address - Street 1:PO BOX 734
Mailing Address - Street 2:
Mailing Address - City:ROCKWALL
Mailing Address - State:TX
Mailing Address - Zip Code:75087-0734
Mailing Address - Country:US
Mailing Address - Phone:972-772-3630
Mailing Address - Fax:972-722-3208
Practice Address - Street 1:601 WHITE HILLS DR STE 100
Practice Address - Street 2:
Practice Address - City:ROCKWALL
Practice Address - State:TX
Practice Address - Zip Code:75087-5527
Practice Address - Country:US
Practice Address - Phone:972-772-3630
Practice Address - Fax:972-722-3208
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-08
Last Update Date:2011-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH94792084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX134107504Medicaid
TX00L45HMedicare PIN
TX134107504Medicaid