Provider Demographics
NPI:1154449775
Name:SHEIKH, SALMA ALI
Entity Type:Individual
Prefix:MRS
First Name:SALMA
Middle Name:ALI
Last Name:SHEIKH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:39880 VAN DYKE AVE STE 204
Mailing Address - Street 2:
Mailing Address - City:STERLING HTS
Mailing Address - State:MI
Mailing Address - Zip Code:48313-4670
Mailing Address - Country:US
Mailing Address - Phone:586-268-5771
Mailing Address - Fax:586-368-4835
Practice Address - Street 1:39880 VAN DYKE AVE STE 204
Practice Address - Street 2:
Practice Address - City:STERLING HTS
Practice Address - State:MI
Practice Address - Zip Code:48313-4670
Practice Address - Country:US
Practice Address - Phone:586-268-5771
Practice Address - Fax:586-368-4835
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI5459550001Medicare ID - Type Unspecified