Provider Demographics
NPI:1316202997
Name:SHEIKH, UMER NISAR (MD)
Entity Type:Individual
Prefix:DR
First Name:UMER
Middle Name:NISAR
Last Name:SHEIKH
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:22101 MOROSS RD, CCB-SB
Mailing Address - Street 2:ST. JOHN HOSPITAL & MEDICAL CENTER, DEPT OF PATHOLOGY
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48225
Mailing Address - Country:US
Mailing Address - Phone:313-343-3133
Mailing Address - Fax:313-881-4727
Practice Address - Street 1:22101 MOROSS RD # CCB-SB
Practice Address - Street 2:ST. JOHN HOSPITAL & MEDICAL CENTER, DEPT OF PATHOLOGY
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48236-2148
Practice Address - Country:US
Practice Address - Phone:313-343-3133
Practice Address - Fax:313-881-4727
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-10
Last Update Date:2012-07-10
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Provider Licenses
StateLicense IDTaxonomies
MI4301095925207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology