Provider Demographics
NPI:1487973970
Name:SHAIKH, TAMKEEN TARIQ (PHYSICIAN ASSISTANT)
Entity type:Individual
Prefix:MRS
First Name:TAMKEEN
Middle Name:TARIQ
Last Name:SHAIKH
Suffix:
Gender:F
Credentials:PHYSICIAN ASSISTANT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:47 SAMANTHA WAY
Mailing Address - Street 2:
Mailing Address - City:SPOTSWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:08884-1080
Mailing Address - Country:US
Mailing Address - Phone:908-227-2545
Mailing Address - Fax:
Practice Address - Street 1:712 COURTYARD DR
Practice Address - Street 2:
Practice Address - City:HILLSBOROUGH
Practice Address - State:NJ
Practice Address - Zip Code:08844-4257
Practice Address - Country:US
Practice Address - Phone:908-526-0200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-05-23
Last Update Date:2010-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MP00236000363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical