Provider Demographics
NPI:1588773121
Name:SHAIKH, HAROON ANWAR (MD)
Entity type:Individual
Prefix:DR
First Name:HAROON
Middle Name:ANWAR
Last Name:SHAIKH
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 1:716 LEIGHTON AVE
Mailing Address - Street 2:
Mailing Address - City:ANNISTON
Mailing Address - State:AL
Mailing Address - Zip Code:36207-5746
Mailing Address - Country:US
Mailing Address - Phone:256-237-1001
Mailing Address - Fax:256-237-0016
Practice Address - Street 1:716 LEIGHTON AVE
Practice Address - Street 2:
Practice Address - City:ANNISTON
Practice Address - State:AL
Practice Address - Zip Code:36207-5746
Practice Address - Country:US
Practice Address - Phone:256-237-1001
Practice Address - Fax:256-237-0016
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-29
Last Update Date:2024-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL8658207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL000012792OtherMEDICARE ID- TYPE UNSPECI
AL000012792Medicaid
AL51012792OtherBCBS PROVIDER NUMBER
AL409113279OtherMEDICARE RR
AL409113279OtherMEDICARE ID