Provider Demographics
NPI:1124606546
Name:DR. SHAIK UBAID MEDICAL PRACTICE, PLLC
Entity Type:Organization
Organization Name:DR. SHAIK UBAID MEDICAL PRACTICE, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SHAIK
Authorized Official - Middle Name:M
Authorized Official - Last Name:UBAID
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:516-567-0783
Mailing Address - Street 1:2231 BURDETT AVE STE 280
Mailing Address - Street 2:
Mailing Address - City:TROY
Mailing Address - State:NY
Mailing Address - Zip Code:12180-2453
Mailing Address - Country:US
Mailing Address - Phone:518-272-4601
Mailing Address - Fax:518-272-4600
Practice Address - Street 1:2231 BURDETT AVE STE 280
Practice Address - Street 2:
Practice Address - City:TROY
Practice Address - State:NY
Practice Address - Zip Code:12180-2453
Practice Address - Country:US
Practice Address - Phone:518-272-4601
Practice Address - Fax:518-272-4600
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-29
Last Update Date:2021-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty