Provider Demographics
NPI:1811997422
Name:ALSHEIKH, THABET (MD)
Entity type:Individual
Prefix:
First Name:THABET
Middle Name:
Last Name:ALSHEIKH
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 1:1717 N E ST STE 331
Mailing Address - Street 2:
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32501-6335
Mailing Address - Country:US
Mailing Address - Phone:850-484-6500
Mailing Address - Fax:850-857-1747
Practice Address - Street 1:125 BAPTIST WAY STE 3A
Practice Address - Street 2:
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32503-2274
Practice Address - Country:US
Practice Address - Phone:448-227-6500
Practice Address - Fax:850-857-1747
Is Sole Proprietor?:No
Enumeration Date:2005-07-26
Last Update Date:2023-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL31568207RC0001X
FLME78624207RC0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0001XAllopathic & Osteopathic PhysiciansInternal MedicineClinical Cardiac Electrophysiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL267506Medicaid
AL102G702625OtherMEDICARE ALABAMA
FLM8695OtherMEDICARE - FLORIDA
FLME78324OtherFLORIDA MEDICAL LICENSE
FL2595591Medicaid
FLME78624OtherFLORIDA MEDICAL LICENSE
AL009926710Medicaid
AL110593Medicaid
FLME78324OtherFLORIDA MEDICAL LICENSE
AL110593Medicaid
FLME78324OtherFLORIDA MEDICAL LICENSE
AL110663Medicaid
AL114272Medicaid