Provider Demographics
NPI:1497855340
Name:SHAIKH, MUHAMMAD ILYAS (MD)
Entity Type:Individual
Prefix:DR
First Name:MUHAMMAD
Middle Name:ILYAS
Last Name:SHAIKH
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 1:5857 LONGVIEW CIR
Mailing Address - Street 2:
Mailing Address - City:BRIDGEVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15017-1277
Mailing Address - Country:US
Mailing Address - Phone:412-221-7770
Mailing Address - Fax:412-221-7773
Practice Address - Street 1:80 EMERSON LN STE 1303
Practice Address - Street 2:
Practice Address - City:BRIDGEVILLE
Practice Address - State:PA
Practice Address - Zip Code:15017-3472
Practice Address - Country:US
Practice Address - Phone:412-221-7770
Practice Address - Fax:412-221-7773
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-22
Last Update Date:2017-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD4257232084P0800X, 2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1887670OtherHIGHMARK BC/BS
PA1016963700004Medicaid