Provider Demographics
NPI:1649389800
Name:SHEIKH, SUMAIRA TEHSEEN (MD)
Entity Type:Individual
Prefix:DR
First Name:SUMAIRA
Middle Name:TEHSEEN
Last Name:SHEIKH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:37555 FIORE TRL
Mailing Address - Street 2:
Mailing Address - City:CLINTON TOWNSHIP
Mailing Address - State:MI
Mailing Address - Zip Code:48036-2037
Mailing Address - Country:US
Mailing Address - Phone:586-286-1704
Mailing Address - Fax:734-676-4954
Practice Address - Street 1:18600 VAN HORN RD
Practice Address - Street 2:
Practice Address - City:WOODHAVEN
Practice Address - State:MI
Practice Address - Zip Code:48183-3828
Practice Address - Country:US
Practice Address - Phone:734-675-0300
Practice Address - Fax:734-675-4898
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MISS068776207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1108218942OtherBCBS
MI4781408Medicaid
MIH57483Medicare UPIN
MI4781408Medicaid