Provider Demographics
NPI:1659328979
Name:SHEIKH, AHSEN (MD)
Entity Type:Individual
Prefix:
First Name:AHSEN
Middle Name:
Last Name:SHEIKH
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 1:50 E SOUTH ST
Mailing Address - Street 2:
Mailing Address - City:GENESEO
Mailing Address - State:NY
Mailing Address - Zip Code:14454-1300
Mailing Address - Country:US
Mailing Address - Phone:585-243-5109
Mailing Address - Fax:585-243-5124
Practice Address - Street 1:50 E SOUTH ST
Practice Address - Street 2:
Practice Address - City:GENESEO
Practice Address - State:NY
Practice Address - Zip Code:14454-1300
Practice Address - Country:US
Practice Address - Phone:585-243-5109
Practice Address - Fax:585-243-5124
Is Sole Proprietor?:No
Enumeration Date:2006-05-30
Last Update Date:2016-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY234105207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02603616Medicaid
NY02603616Medicaid
NYI21374Medicare UPIN