Provider Demographics
NPI:1043259898
Name:SHEIKH, EMRAN SALAHUDDIN (MD)
Entity Type:Individual
Prefix:
First Name:EMRAN
Middle Name:SALAHUDDIN
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 1:201 ROUTE 17 FL 11
Mailing Address - Street 2:SUITE 11019
Mailing Address - City:RUTHERFORD
Mailing Address - State:NJ
Mailing Address - Zip Code:07070-2557
Mailing Address - Country:US
Mailing Address - Phone:201-549-8860
Mailing Address - Fax:201-549-8861
Practice Address - Street 1:201 ROUTE 17 FL 11
Practice Address - Street 2:SUITE 11019
Practice Address - City:RUTHERFORD
Practice Address - State:NJ
Practice Address - Zip Code:07070-2557
Practice Address - Country:US
Practice Address - Phone:201-549-8860
Practice Address - Fax:201-549-8861
Is Sole Proprietor?:No
Enumeration Date:2006-06-06
Last Update Date:2016-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD4246332082S0105X
NJ25MA077917002082S0105X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2082S0105XAllopathic & Osteopathic PhysiciansPlastic SurgerySurgery of the Hand
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ3720353OtherAETNA
NJ2337014000OtherIBC
PA3617968OtherAETNA
1057176OtherCIGNA
PA2301238000OtherIBC
PA081289GC6Medicare ID - Type Unspecified
NJ3720353OtherAETNA
1057176OtherCIGNA
NJP00207237Medicare PIN