Provider Demographics
NPI:1922595271
Name:SHAIKH, SOHA IQBAL (DO)
Entity type:Individual
Prefix:
First Name:SOHA
Middle Name:IQBAL
Last Name:SHAIKH
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:SOHA
Other - Middle Name:FATIMA
Other - Last Name:IQBAL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:23W331 HAMPTON CIR
Mailing Address - Street 2:
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60540-9316
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2007 95TH ST STE LLA
Practice Address - Street 2:
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60564-7802
Practice Address - Country:US
Practice Address - Phone:630-848-1700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-04-21
Last Update Date:2024-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
IL036165451208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program