Provider Demographics
NPI:1063858363
Name:SHAIKH, WAQAS R (MD, MPH)
Entity Type:Individual
Prefix:DR
First Name:WAQAS
Middle Name:R
Last Name:SHAIKH
Suffix:
Gender:M
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:335 PEACHTREE INDUSTRIAL BLVD STE 2210
Mailing Address - Street 2:
Mailing Address - City:SUWANEE
Mailing Address - State:GA
Mailing Address - Zip Code:30024-3721
Mailing Address - Country:US
Mailing Address - Phone:770-676-2200
Mailing Address - Fax:770-676-2211
Practice Address - Street 1:335 PEACHTREE INDUSTRIAL BLVD STE 2210
Practice Address - Street 2:
Practice Address - City:SUWANEE
Practice Address - State:GA
Practice Address - Zip Code:30024-3721
Practice Address - Country:US
Practice Address - Phone:770-676-2200
Practice Address - Fax:770-676-2211
Is Sole Proprietor?:No
Enumeration Date:2013-05-14
Last Update Date:2022-04-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GA82218207N00000X, 207ND0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ND0101XAllopathic & Osteopathic PhysiciansDermatologyMOHS-Micrographic Surgery
No207N00000XAllopathic & Osteopathic PhysiciansDermatology