Provider Demographics
NPI:1932603529
Name:SHAIKH, NOAH (MD)
Entity type:Individual
Prefix:
First Name:NOAH
Middle Name:
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 1:1130 W MICHIGAN ST STE 400
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46202-5209
Mailing Address - Country:US
Mailing Address - Phone:317-278-1211
Mailing Address - Fax:
Practice Address - Street 1:13100 E 136TH ST STE 1200
Practice Address - Street 2:
Practice Address - City:FISHERS
Practice Address - State:IN
Practice Address - Zip Code:46037-9418
Practice Address - Country:US
Practice Address - Phone:317-944-6467
Practice Address - Fax:317-222-2103
Is Sole Proprietor?:No
Enumeration Date:2018-03-20
Last Update Date:2024-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01092513A207Y00000X
WV32531207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology