Provider Demographics
NPI:1164405122
Name:SHEIKH-ALI, MAE (MD)
Entity Type:Individual
Prefix:DR
First Name:MAE
Middle Name:
Last Name:SHEIKH-ALI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14286 BEACH BLVD STE 19-208
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32250-1561
Mailing Address - Country:US
Mailing Address - Phone:610-529-4165
Mailing Address - Fax:904-281-9806
Practice Address - Street 1:3627 UNIVERSITY BLVD S STE 310
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32216-4294
Practice Address - Country:US
Practice Address - Phone:610-529-4165
Practice Address - Fax:904-281-9806
Is Sole Proprietor?:No
Enumeration Date:2005-11-23
Last Update Date:2023-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME93580207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA121074505BMedicaid
FL28675OtherBCBS
FL2772248-00Medicaid
GA121074505BMedicaid
FL28675XMedicare PIN