Provider Demographics
NPI:1366124307
Name:SHAIKH MEDICAL CLINIC, PA
Entity type:Organization
Organization Name:SHAIKH MEDICAL CLINIC, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GHULAM
Authorized Official - Middle Name:MURTAZA
Authorized Official - Last Name:SHAIKH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:919-771-0503
Mailing Address - Street 1:171 MAST DR
Mailing Address - Street 2:
Mailing Address - City:GARNER
Mailing Address - State:NC
Mailing Address - Zip Code:27529-6718
Mailing Address - Country:US
Mailing Address - Phone:919-771-0503
Mailing Address - Fax:919-771-0504
Practice Address - Street 1:171 MAST DR
Practice Address - Street 2:
Practice Address - City:GARNER
Practice Address - State:NC
Practice Address - Zip Code:27529-6718
Practice Address - Country:US
Practice Address - Phone:919-771-0503
Practice Address - Fax:919-771-0504
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-01
Last Update Date:2023-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty