Provider Demographics
NPI:1407883788
Name:SHEIKH, WASIM AHMED (MD)
Entity Type:Individual
Prefix:
First Name:WASIM
Middle Name:AHMED
Last Name:SHEIKH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:WASIM
Other - Middle Name:AHMED
Other - Last Name:SHEIKH
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:23402 TROPHY LN
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77494-2024
Mailing Address - Country:US
Mailing Address - Phone:281-235-3604
Mailing Address - Fax:281-762-2072
Practice Address - Street 1:23402 TROPHY LN
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77494-2024
Practice Address - Country:US
Practice Address - Phone:281-235-3604
Practice Address - Fax:281-762-2072
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-26
Last Update Date:2020-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK6318207R00000X, 207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXG47401Medicare UPIN