Provider Demographics
NPI:1679658116
Name:SHEIKH, NEELAM (PA-C)
Entity Type:Individual
Prefix:
First Name:NEELAM
Middle Name:
Last Name:SHEIKH
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:NEELAM
Other - Middle Name:
Other - Last Name:HAIDER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:4700 NW 99TH TER
Mailing Address - Street 2:
Mailing Address - City:CORAL SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33076-2439
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2400 W SAMPLE RD STE 4
Practice Address - Street 2:
Practice Address - City:POMPANO BEACH
Practice Address - State:FL
Practice Address - Zip Code:33073-3035
Practice Address - Country:US
Practice Address - Phone:854-580-1036
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-25
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPA9103882363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical