Provider Demographics
NPI:1316006208
Name:SHAIKH, ARIF J (MD)
Entity Type:Individual
Prefix:DR
First Name:ARIF
Middle Name:J
Last Name:SHAIKH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:PO BOX 34
Mailing Address - Street 2:
Mailing Address - City:PALM DESERT
Mailing Address - State:CA
Mailing Address - Zip Code:92261-0034
Mailing Address - Country:US
Mailing Address - Phone:760-342-1899
Mailing Address - Fax:760-346-7097
Practice Address - Street 1:41120 WASHINGTON ST
Practice Address - Street 2:SUITE 103
Practice Address - City:BERMUDA DUNES
Practice Address - State:CA
Practice Address - Zip Code:92203-9215
Practice Address - Country:US
Practice Address - Phone:760-342-1899
Practice Address - Fax:760-346-7097
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-06
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAG62408207YS0123X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207YS0123XAllopathic & Osteopathic PhysiciansOtolaryngologyFacial Plastic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G62408Medicaid
CA00G62408Medicaid
CAOOG62408Medicare PIN