Provider Demographics
NPI:1528018868
Name:SHAIKH, AFTAB AHMED (MD)
Entity Type:Individual
Prefix:DR
First Name:AFTAB
Middle Name:AHMED
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 1:2810 KEASLER CIR E
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38139-6839
Mailing Address - Country:US
Mailing Address - Phone:901-871-1672
Mailing Address - Fax:901-684-1435
Practice Address - Street 1:2810 KEASLER CIR E
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38139-6839
Practice Address - Country:US
Practice Address - Phone:901-871-1672
Practice Address - Fax:901-682-9460
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-10
Last Update Date:2020-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN029513207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN1510157Medicaid
MO932914623Medicare PIN
TN3828966Medicare ID - Type Unspecified
TN3828967Medicare ID - Type Unspecified