Provider Demographics
NPI:1023009743
Name:SHEIKH, FARRUKH R (MD)
Entity Type:Individual
Prefix:
First Name:FARRUKH
Middle Name:R
Last Name:SHEIKH
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 1:7247 W CENTRAL AVE
Mailing Address - Street 2:SUITE A
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43617-1177
Mailing Address - Country:US
Mailing Address - Phone:419-843-8815
Mailing Address - Fax:419-843-8816
Practice Address - Street 1:7247 W CENTRAL AVE
Practice Address - Street 2:SUITE A
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43617-1177
Practice Address - Country:US
Practice Address - Phone:419-843-8815
Practice Address - Fax:419-843-8816
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-02
Last Update Date:2007-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN48043207RA0201X
OH090872207K00000X
MI4301091187207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RA0201XAllopathic & Osteopathic PhysiciansInternal MedicineAllergy & Immunology
No207K00000XAllopathic & Osteopathic PhysiciansAllergy & Immunology
Provider Identifiers
StateIdentifier IDID TypeIssuer
50A45CEOtherBLUE CROSS BLUE SHIELD
283P1SHOtherBLUE CROSS BLUE SHIELD
135305OtherU CARE
1044184OtherPREFERRED ONE
2372774OtherARAZ GROUP AMERICAS PPO
HP54457OtherHEALTH PARTNERS
283P1SHOtherBLUE CROSS BLUE SHIELD