Provider Demographics
NPI:1518925981
Name:SHEIKH, ABDUL MALIK (MD)
Entity Type:Individual
Prefix:
First Name:ABDUL
Middle Name:MALIK
Last Name:SHEIKH
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 1:55 WHITCHER ST NE
Mailing Address - Street 2:SUITE 350
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30060-1155
Mailing Address - Country:US
Mailing Address - Phone:770-424-6893
Mailing Address - Fax:770-528-9938
Practice Address - Street 1:144 BILL CARRUTH PKWY
Practice Address - Street 2:SUITE 4200
Practice Address - City:HIRAM
Practice Address - State:GA
Practice Address - Zip Code:30141-3749
Practice Address - Country:US
Practice Address - Phone:678-324-4444
Practice Address - Fax:770-528-9932
Is Sole Proprietor?:No
Enumeration Date:2006-05-03
Last Update Date:2015-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA52017207RI0011X, 207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA865498845BMedicaid
GA865498845CMedicaid
GA865498845KMedicaid
GA865498845AMedicaid
GA865498845DMedicaid
GA865498845KMedicaid