Provider Demographics
NPI:1174860381
Name:SHAIKH, MOHAMMAD NAVEED (MD, CNIM)
Entity type:Individual
Prefix:DR
First Name:MOHAMMAD
Middle Name:NAVEED
Last Name:SHAIKH
Suffix:
Gender:M
Credentials:MD, CNIM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1306 MINDY LN
Mailing Address - Street 2:
Mailing Address - City:PISCATAWAY
Mailing Address - State:NJ
Mailing Address - Zip Code:08854-5984
Mailing Address - Country:US
Mailing Address - Phone:718-261-1420
Mailing Address - Fax:201-862-9136
Practice Address - Street 1:1306 MINDY LN
Practice Address - Street 2:
Practice Address - City:PISCATAWAY
Practice Address - State:NJ
Practice Address - Zip Code:08854-5984
Practice Address - Country:US
Practice Address - Phone:718-261-1420
Practice Address - Fax:201-862-9136
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-08
Last Update Date:2013-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ2423246ZE0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZE0600XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherElectroneurodiagnostic
Provider Identifiers
StateIdentifier IDID TypeIssuer
2423OtherAMERICAN BOARD OF EEG AND EPT TECHNOLOGISTS REGISTRATION
0-450-064-1OtherEDUCATIONAL COMMISSION FOR FOREIGHN MEDICAL GRADUATES