Provider Demographics
NPI:1598042970
Name:SHAIKH, JUNAID RASHEED (MD)
Entity Type:Individual
Prefix:
First Name:JUNAID
Middle Name:RASHEED
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 1:329 QUAKER CHURCH RD
Mailing Address - Street 2:
Mailing Address - City:RANDOLPH
Mailing Address - State:NJ
Mailing Address - Zip Code:07869-1314
Mailing Address - Country:US
Mailing Address - Phone:973-220-0172
Mailing Address - Fax:
Practice Address - Street 1:300 NORTH AVE E
Practice Address - Street 2:SUITE # 305
Practice Address - City:WESTFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07090-1426
Practice Address - Country:US
Practice Address - Phone:973-220-0172
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-13
Last Update Date:2016-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA05945200207ZF0201X
PAMD049601L208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZF0201XAllopathic & Osteopathic PhysiciansPathologyForensic Pathology
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice