Provider Demographics
NPI:1659376150
Name:SHEIKH, TASMINA (MD)
Entity Type:Individual
Prefix:DR
First Name:TASMINA
Middle Name:
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 1:4600 MILITARY TRAIL
Mailing Address - Street 2:STE 221
Mailing Address - City:JUPITER
Mailing Address - State:FL
Mailing Address - Zip Code:33458
Mailing Address - Country:US
Mailing Address - Phone:561-625-9695
Mailing Address - Fax:561-625-9745
Practice Address - Street 1:4600 MILITARY TRL
Practice Address - Street 2:STE 221
Practice Address - City:JUPITER
Practice Address - State:FL
Practice Address - Zip Code:33458-4813
Practice Address - Country:US
Practice Address - Phone:561-625-9695
Practice Address - Fax:561-625-9745
Is Sole Proprietor?:No
Enumeration Date:2005-06-20
Last Update Date:2011-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME00804042084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL06027OtherBCBS OF FL
FLP2907764OtherOXFORD
FL262302100Medicaid
FL462887OtherVALUE OPTIONS
FL262302100Medicaid
FLE6010YMedicare PIN
FLH45308Medicare UPIN
FLP00066290Medicare ID - Type UnspecifiedRAILROAD