Provider Demographics
NPI:1992526784
Name:AFTAB, SHEIKH (CEO)
Entity type:Individual
Prefix:
First Name:SHEIKH
Middle Name:
Last Name:AFTAB
Suffix:
Gender:M
Credentials:CEO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14497 SEDONA DR
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:20155-2828
Mailing Address - Country:US
Mailing Address - Phone:703-640-8784
Mailing Address - Fax:
Practice Address - Street 1:14497 SEDONA DR
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:VA
Practice Address - Zip Code:20155-2828
Practice Address - Country:US
Practice Address - Phone:703-640-8784
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-23
Last Update Date:2024-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA33-1607201332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies