Provider Demographics
NPI:1316149131
Name:SHEIKH, SHOAIB I (MD)
Entity type:Individual
Prefix:
First Name:SHOAIB
Middle Name:I
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 1:2701 E ELVIRA RD
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85706-7124
Mailing Address - Country:US
Mailing Address - Phone:520-874-3500
Mailing Address - Fax:
Practice Address - Street 1:707 N ALVERNON WAY STE 205
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85711-1847
Practice Address - Country:US
Practice Address - Phone:520-694-8000
Practice Address - Fax:520-694-8014
Is Sole Proprietor?:No
Enumeration Date:2007-06-04
Last Update Date:2008-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZPENDING207XS0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0106XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryHand Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ241656Medicaid
AZP00439225OtherRAILROAD MEDICARE
AZP00439225OtherRAILROAD MEDICARE