Provider Demographics
NPI:1457091175
Name:SHEIKH, HIRA SHAWN (MD)
Entity Type:Individual
Prefix:DR
First Name:HIRA
Middle Name:SHAWN
Last Name:SHEIKH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:HIRA
Other - Middle Name:
Other - Last Name:TUFAIL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:8015 SUMMER PLACE ST
Mailing Address - Street 2:
Mailing Address - City:FONTANA
Mailing Address - State:CA
Mailing Address - Zip Code:92336-3850
Mailing Address - Country:US
Mailing Address - Phone:909-688-8363
Mailing Address - Fax:
Practice Address - Street 1:45 READE PL
Practice Address - Street 2:
Practice Address - City:POUGHKEEPSIE
Practice Address - State:NY
Practice Address - Zip Code:12601-3947
Practice Address - Country:US
Practice Address - Phone:845-790-1312
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-30
Last Update Date:2022-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program