Provider Demographics
NPI:1558353151
Name:SHEIKH, AZAD (MD)
Entity Type:Individual
Prefix:MR
First Name:AZAD
Middle Name:
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 1:5301 F ST
Mailing Address - Street 2:SUITE 313
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95819-3226
Mailing Address - Country:US
Mailing Address - Phone:916-736-6470
Mailing Address - Fax:916-736-6798
Practice Address - Street 1:5151 F ST
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95819-3223
Practice Address - Country:US
Practice Address - Phone:916-733-8441
Practice Address - Fax:916-733-1728
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-08-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA442602080P0203X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0203XAllopathic & Osteopathic PhysiciansPediatricsPediatric Critical Care Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAOOA44260Medicaid
CAOOA44260Medicaid
CAZZZ026712Medicare ID - Type Unspecified