Provider Demographics
NPI:1639196371
Name:AL-SHAIKH, RAAD ANDREW (MD)
Entity Type:Individual
Prefix:DR
First Name:RAAD
Middle Name:ANDREW
Last Name:AL-SHAIKH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:10556 COMBIE RD
Mailing Address - Street 2:PMB 6618
Mailing Address - City:AUBURN
Mailing Address - State:CA
Mailing Address - Zip Code:95602-8908
Mailing Address - Country:US
Mailing Address - Phone:530-885-9191
Mailing Address - Fax:530-823-9119
Practice Address - Street 1:11720 EDUCATION ST STE 5
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:CA
Practice Address - Zip Code:95602-2419
Practice Address - Country:US
Practice Address - Phone:530-885-9191
Practice Address - Fax:530-823-9119
Is Sole Proprietor?:No
Enumeration Date:2006-07-17
Last Update Date:2020-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA63005207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A630050Medicaid
CA00A630052Medicare PIN
CA00A630050Medicaid
CA00A630051Medicare PIN