Provider Demographics
NPI:1164031795
Name:BIJAN F. SHEIKHIZADEH DPM PC
Entity Type:Organization
Organization Name:BIJAN F. SHEIKHIZADEH DPM PC
Other - Org Name:ENCINITAS PODIATRY GROUP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:BIJAN
Authorized Official - Middle Name:FARHAD
Authorized Official - Last Name:SHEIKHIZADEH
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:360-888-7553
Mailing Address - Street 1:501 N EL CAMINO REAL STE 201
Mailing Address - Street 2:
Mailing Address - City:ENCINITAS
Mailing Address - State:CA
Mailing Address - Zip Code:92024-1335
Mailing Address - Country:US
Mailing Address - Phone:760-436-8667
Mailing Address - Fax:760-436-2292
Practice Address - Street 1:501 N EL CAMINO REAL STE 201
Practice Address - Street 2:
Practice Address - City:ENCINITAS
Practice Address - State:CA
Practice Address - Zip Code:92024-1335
Practice Address - Country:US
Practice Address - Phone:760-436-8667
Practice Address - Fax:760-436-2292
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ENCINITAS PODIATRY GROUP
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-07-29
Last Update Date:2020-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty