Provider Demographics
NPI:1275941841
Name:SHAIKH, AIJAZ AHMED (MD)
Entity Type:Individual
Prefix:
First Name:AIJAZ
Middle Name:AHMED
Last Name:SHAIKH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:77 GOODELL ST
Mailing Address - Street 2:SECOND FLOOR
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14203-1243
Mailing Address - Country:US
Mailing Address - Phone:716-701-6881
Mailing Address - Fax:716-845-6699
Practice Address - Street 1:1315 JEFFERSON AVE
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14208-2102
Practice Address - Country:US
Practice Address - Phone:716-332-3797
Practice Address - Fax:716-701-6854
Is Sole Proprietor?:No
Enumeration Date:2014-07-28
Last Update Date:2018-10-03
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY290499207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine