Provider Demographics
NPI:1467781245
Name:SHEIKH, SHAH (PHARMD)
Entity Type:Individual
Prefix:MR
First Name:SHAH
Middle Name:
Last Name:SHEIKH
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2501 61 ST
Mailing Address - Street 2:
Mailing Address - City:GALVESTON
Mailing Address - State:TX
Mailing Address - Zip Code:77551-1849
Mailing Address - Country:US
Mailing Address - Phone:409-744-8152
Mailing Address - Fax:409-744-2774
Practice Address - Street 1:2501 61ST ST
Practice Address - Street 2:
Practice Address - City:GALVESTON
Practice Address - State:TX
Practice Address - Zip Code:77551-1849
Practice Address - Country:US
Practice Address - Phone:409-744-8152
Practice Address - Fax:409-744-2774
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-08
Last Update Date:2009-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX45807183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist