Provider Demographics
NPI:1689716912
Name:SHAIKH, RASHID A
Entity Type:Individual
Prefix:
First Name:RASHID
Middle Name:A
Last Name:SHAIKH
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 GREENTREE RD
Mailing Address - Street 2:
Mailing Address - City:MINEOLA
Mailing Address - State:NY
Mailing Address - Zip Code:11501-2114
Mailing Address - Country:US
Mailing Address - Phone:516-294-7495
Mailing Address - Fax:
Practice Address - Street 1:1713,UNIVERSITY AVE
Practice Address - Street 2:
Practice Address - City:BRONX,
Practice Address - State:NY
Practice Address - Zip Code:10453
Practice Address - Country:US
Practice Address - Phone:718-294-0700
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY145274207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY231408OtherWELLCARE OF NEWYORK
NY00145274OtherMETROPLUS OF NEWYORK
NY1000048653OtherAFFINITY OF NEWYORK
NY00609123Medicaid
NY55A561Medicare ID - Type Unspecified