Provider Demographics
NPI:1508934605
Name:WAJIH AL-SHEIKH MD INC
Entity Type:Organization
Organization Name:WAJIH AL-SHEIKH MD INC
Other - Org Name:VALLEY IMAGING MEDICAL GROUP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER RADIOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:WAJIH
Authorized Official - Middle Name:A
Authorized Official - Last Name:AL SHEIKH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:661-721-3510
Mailing Address - Street 1:PO BOX 489
Mailing Address - Street 2:
Mailing Address - City:DELANO
Mailing Address - State:CA
Mailing Address - Zip Code:93216
Mailing Address - Country:US
Mailing Address - Phone:661-721-3510
Mailing Address - Fax:661-721-0562
Practice Address - Street 1:1311 JEFFERSON STREET
Practice Address - Street 2:
Practice Address - City:DELANO
Practice Address - State:CA
Practice Address - Zip Code:93215
Practice Address - Country:US
Practice Address - Phone:661-721-3510
Practice Address - Fax:661-721-0562
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-30
Last Update Date:2008-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA48283 RHL137213261QR0200X
CAA48283 6428261QR0206X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0200XAmbulatory Health Care FacilitiesClinic/CenterRadiology
No261QR0206XAmbulatory Health Care FacilitiesClinic/CenterRadiology, Mammography
Provider Identifiers
StateIdentifier IDID TypeIssuer
D61175Medicare UPIN
00A482830Medicare ID - Type Unspecified