Provider Demographics
NPI:1376598680
Name:SHEIKH, ASAD U (MD)
Entity Type:Individual
Prefix:
First Name:ASAD
Middle Name:U
Last Name:SHEIKH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:707 E CEDAR ST
Mailing Address - Street 2:STE 200
Mailing Address - City:SOUTH BEND
Mailing Address - State:IN
Mailing Address - Zip Code:46617-2057
Mailing Address - Country:US
Mailing Address - Phone:574-335-8700
Mailing Address - Fax:574-335-0760
Practice Address - Street 1:611 E DOUGLAS RD
Practice Address - Street 2:SUITE 408
Practice Address - City:MISHAWAKA
Practice Address - State:IN
Practice Address - Zip Code:46545-1464
Practice Address - Country:US
Practice Address - Phone:574-335-6440
Practice Address - Fax:574-335-0608
Is Sole Proprietor?:No
Enumeration Date:2006-05-24
Last Update Date:2016-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301052175207VM0101X
IN01074609207VM0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VM0101XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyMaternal & Fetal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI4973022Medicaid
IN201256450Medicaid
IN00000903896OtherBCBS
MI160D162280OtherBCBS GROUP PIN
F29774Medicare UPIN
IN201256450Medicaid
IN255580010Medicare PIN