Provider Demographics
NPI:1629760749
Name:SHAIKH, SAMIULLAH (DR)
Entity Type:Individual
Prefix:
First Name:SAMIULLAH
Middle Name:
Last Name:SHAIKH
Suffix:
Gender:M
Credentials:DR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:707 LEMON TWIST LN
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77406-2902
Mailing Address - Country:US
Mailing Address - Phone:832-907-6409
Mailing Address - Fax:
Practice Address - Street 1:707 LEMON TWIST LN
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77406-2902
Practice Address - Country:US
Practice Address - Phone:832-907-6409
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-25
Last Update Date:2023-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT016.01341761223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice