Provider Demographics
NPI:1053345579
Name:SHEIKH, SHAHID H (MD)
Entity type:Individual
Prefix:
First Name:SHAHID
Middle Name:H
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 1:970 N BROADWAY
Mailing Address - Street 2:SUITE 210
Mailing Address - City:YONKERS
Mailing Address - State:NY
Mailing Address - Zip Code:10701-1309
Mailing Address - Country:US
Mailing Address - Phone:914-963-0111
Mailing Address - Fax:914-963-6561
Practice Address - Street 1:970 N BROADWAY
Practice Address - Street 2:SUITE 210
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10701-1309
Practice Address - Country:US
Practice Address - Phone:914-963-0111
Practice Address - Fax:914-963-6561
Is Sole Proprietor?:No
Enumeration Date:2006-07-10
Last Update Date:2014-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY128065207RC0000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
0D0475OtherACS HEALTHNET
NY337981OtherBCBS
NY00278620Medicaid
060070417OtherRAILROAD MEDICARE
WS893OtherOXFORD
060070417OtherRAILROAD MEDICARE
NY337981Medicare PIN