Provider Demographics
NPI:1033996350
Name:KHALED SHAIKHI LLC
Entity Type:Organization
Organization Name:KHALED SHAIKHI LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DR
Authorized Official - Prefix:
Authorized Official - First Name:KHALED
Authorized Official - Middle Name:OTHMAN
Authorized Official - Last Name:SHAIKHI
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:781-322-8558
Mailing Address - Street 1:10 HOLDEN ST STE 3B
Mailing Address - Street 2:
Mailing Address - City:MALDEN
Mailing Address - State:MA
Mailing Address - Zip Code:02148-5237
Mailing Address - Country:US
Mailing Address - Phone:781-322-8558
Mailing Address - Fax:
Practice Address - Street 1:7 ABERDEEN AVE
Practice Address - Street 2:
Practice Address - City:SAUGUS
Practice Address - State:MA
Practice Address - Zip Code:01906-3986
Practice Address - Country:US
Practice Address - Phone:857-919-2804
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:-
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-09-11
Last Update Date:2023-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental