Provider Demographics
NPI:1346418092
Name:SHEIKH, SIRAJ M (B-PHARM)
Entity Type:Individual
Prefix:MR
First Name:SIRAJ
Middle Name:M
Last Name:SHEIKH
Suffix:
Gender:M
Credentials:B-PHARM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:450 W SWEDESFORD RD
Mailing Address - Street 2:
Mailing Address - City:BERWYN
Mailing Address - State:PA
Mailing Address - Zip Code:19312-1164
Mailing Address - Country:US
Mailing Address - Phone:610-647-8031
Mailing Address - Fax:610-647-1352
Practice Address - Street 1:450 W SWEDESFORD RD
Practice Address - Street 2:
Practice Address - City:BERWYN
Practice Address - State:PA
Practice Address - Zip Code:19312-1164
Practice Address - Country:US
Practice Address - Phone:610-647-8031
Practice Address - Fax:610-647-1352
Is Sole Proprietor?:No
Enumeration Date:2008-02-15
Last Update Date:2008-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP042105R183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PARP042105ROtherPHARMACIST