Provider Demographics
NPI:1003824426
Name:AFZAL, SHEIKH M (MD)
Entity Type:Individual
Prefix:DR
First Name:SHEIKH
Middle Name:M
Last Name:AFZAL
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 1:5706 BELMONT CIR
Mailing Address - Street 2:
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18106-3627
Mailing Address - Country:US
Mailing Address - Phone:610-377-1228
Mailing Address - Fax:866-723-5249
Practice Address - Street 1:710 BRIDGE STREET, SUITE 204
Practice Address - Street 2:SUITE 201
Practice Address - City:LEHIGHTON
Practice Address - State:PA
Practice Address - Zip Code:18235-2100
Practice Address - Country:US
Practice Address - Phone:610-377-1228
Practice Address - Fax:866-723-5249
Is Sole Proprietor?:No
Enumeration Date:2006-08-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD061333L2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1011137810002Medicaid
PA063661Medicare ID - Type Unspecified
PAH72539Medicare UPIN