Provider Demographics
NPI:1144222340
Name:SHEIKH, ZIA M (MD)
Entity Type:Individual
Prefix:DR
First Name:ZIA
Middle Name:M
Last Name:SHEIKH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2211 W STATE ST
Mailing Address - Street 2:SUITE 121
Mailing Address - City:OLEAN
Mailing Address - State:NY
Mailing Address - Zip Code:14760-1951
Mailing Address - Country:US
Mailing Address - Phone:716-372-2355
Mailing Address - Fax:716-372-8682
Practice Address - Street 1:2211 W STATE ST
Practice Address - Street 2:SUITE 121
Practice Address - City:OLEAN
Practice Address - State:NY
Practice Address - Zip Code:14760-1951
Practice Address - Country:US
Practice Address - Phone:716-372-2355
Practice Address - Fax:716-372-8682
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-01
Last Update Date:2014-11-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY2065831207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00030238801OtherUNIVERA PROV NUMBER
NY040426004124OtherFIDELIS PROV #
NY000524454008OtherCOMMUNITY BLUE PRO #
NY01687301Medicaid
NY0408396OtherINDEPENDENT HEALTH #
NY000524454008OtherCOMMUNITY BLUE PRO #