Provider Demographics
NPI:1992799829
Name:SHEIKH, ABDUL M (MD)
Entity type:Individual
Prefix:DR
First Name:ABDUL
Middle Name:M
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 1:114 WOODLAND ST
Mailing Address - Street 2:DEPT. OF MEDICINE
Mailing Address - City:HARTFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06105-1208
Mailing Address - Country:US
Mailing Address - Phone:860-714-7446
Mailing Address - Fax:860-714-1508
Practice Address - Street 1:114 WOODLAND ST
Practice Address - Street 2:DEPT. OF MEDICINE
Practice Address - City:HARTFORD
Practice Address - State:CT
Practice Address - Zip Code:06105-1208
Practice Address - Country:US
Practice Address - Phone:860-714-7446
Practice Address - Fax:860-714-1508
Is Sole Proprietor?:No
Enumeration Date:2005-09-07
Last Update Date:2021-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT044671207RI0200X, 207R00000X, 208M00000X
LAMD203948207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
No207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA2109723Medicaid
CTPENDINGOtherRR MEDICARE
CT001446716Medicaid
CTI41322Medicare UPIN
LA4P866DJ97Medicare PIN
LA2109723Medicaid