Provider Demographics
NPI:1659141380
Name:A.Y.SHAIKH DDS A PDC
Entity Type:Organization
Organization Name:A.Y.SHAIKH DDS A PDC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ARIFA
Authorized Official - Middle Name:YOUSUF
Authorized Official - Last Name:SHAIKH
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:650-344-7121
Mailing Address - Street 1:256 N SAN MATEO DR STE 5
Mailing Address - Street 2:
Mailing Address - City:SAN MATEO
Mailing Address - State:CA
Mailing Address - Zip Code:94401-2670
Mailing Address - Country:US
Mailing Address - Phone:650-344-7121
Mailing Address - Fax:
Practice Address - Street 1:256 N SAN MATEO DR STE 5
Practice Address - Street 2:
Practice Address - City:SAN MATEO
Practice Address - State:CA
Practice Address - Zip Code:94401-2670
Practice Address - Country:US
Practice Address - Phone:650-344-7121
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-04
Last Update Date:2024-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental