Provider Demographics
NPI:1285657650
Name:SHAIKH, SHAGUFTA H (MD)
Entity Type:Individual
Prefix:DR
First Name:SHAGUFTA
Middle Name:H
Last Name:SHAIKH
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 1:45 LINDENWOOD DR
Mailing Address - Street 2:
Mailing Address - City:EXTON
Mailing Address - State:PA
Mailing Address - Zip Code:19341-2147
Mailing Address - Country:US
Mailing Address - Phone:570-332-4292
Mailing Address - Fax:
Practice Address - Street 1:45 LINDENWOOD DR
Practice Address - Street 2:
Practice Address - City:EXTON
Practice Address - State:PA
Practice Address - Zip Code:19341-2147
Practice Address - Country:US
Practice Address - Phone:570-332-4292
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-25
Last Update Date:2012-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD437561207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1285657650OtherNPI
PAMD437561OtherPA STATE LICENSE