Provider Demographics
NPI:1275575581
Name:SHEIKH, SHOAIB (MD)
Entity type:Individual
Prefix:DR
First Name:SHOAIB
Middle Name:
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 1:1105 E DIVISION ST
Mailing Address - Street 2:
Mailing Address - City:NEILLSVILLE
Mailing Address - State:WI
Mailing Address - Zip Code:54456-2122
Mailing Address - Country:US
Mailing Address - Phone:715-819-1044
Mailing Address - Fax:
Practice Address - Street 1:1105 E DIVISION ST
Practice Address - Street 2:
Practice Address - City:NEILLSVILLE
Practice Address - State:WI
Practice Address - Zip Code:54456-2122
Practice Address - Country:US
Practice Address - Phone:715-819-1044
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-12
Last Update Date:2024-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI49204207Q00000X
ND15751207Q00000X, 208M00000X
IN01082211A207Q00000X, 208M00000X
WY7369A207Q00000X
LA339848208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI1275575581Medicaid
WI1275575581Medicaid