Provider Demographics
NPI:1194779397
Name:SHAHZAD A. SHEIKH, M.D., P.A.
Entity type:Organization
Organization Name:SHAHZAD A. SHEIKH, M.D., P.A.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SADIA
Authorized Official - Middle Name:
Authorized Official - Last Name:SHEIKH
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:210-492-0900
Mailing Address - Street 1:14351 BLANCO RD
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78216-7723
Mailing Address - Country:US
Mailing Address - Phone:210-492-0900
Mailing Address - Fax:210-492-0977
Practice Address - Street 1:14351 BLANCO RD
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78216-7723
Practice Address - Country:US
Practice Address - Phone:210-492-0900
Practice Address - Fax:210-492-0977
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-20
Last Update Date:2007-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK4565261QH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXN32250Medicare UPIN