Provider Demographics
NPI:1205855541
Name:SHAIKH, ALI N (MD)
Entity Type:Individual
Prefix:
First Name:ALI
Middle Name:N
Last Name:SHAIKH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:21851 CENTER RIDGE RD
Mailing Address - Street 2:SUITE #109
Mailing Address - City:ROCKY RIVER
Mailing Address - State:OH
Mailing Address - Zip Code:44116-3976
Mailing Address - Country:US
Mailing Address - Phone:440-895-1555
Mailing Address - Fax:440-895-1557
Practice Address - Street 1:21851 CENTER RIDGE RD
Practice Address - Street 2:SUITE #109
Practice Address - City:ROCKY RIVER
Practice Address - State:OH
Practice Address - Zip Code:44116-3976
Practice Address - Country:US
Practice Address - Phone:440-895-1555
Practice Address - Fax:440-895-1557
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-18
Last Update Date:2013-03-11
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
OH35-03-3519207RC0000X, 207RI0011X, 207UN0901X
OH35033519207RH0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
No207UN0901XAllopathic & Osteopathic PhysiciansNuclear MedicineNuclear Cardiology
No207RH0005XAllopathic & Osteopathic PhysiciansInternal MedicineHypertension Specialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0227712Medicaid
OH0227712Medicaid