Provider Demographics
NPI:1720023880
Name:UBAID, SHAIK M (MD)
Entity Type:Individual
Prefix:
First Name:SHAIK
Middle Name:M
Last Name:UBAID
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:2231 BURDETT AVE STE 280
Mailing Address - Street 2:
Mailing Address - City:TROY
Mailing Address - State:NY
Mailing Address - Zip Code:12180-2453
Mailing Address - Country:US
Mailing Address - Phone:518-272-4601
Mailing Address - Fax:518-272-4600
Practice Address - Street 1:2231 BURDETT AVE STE 280
Practice Address - Street 2:
Practice Address - City:TROY
Practice Address - State:NY
Practice Address - Zip Code:12180-2453
Practice Address - Country:US
Practice Address - Phone:518-272-4601
Practice Address - Fax:518-272-4600
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-20
Last Update Date:2021-10-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY2188712084N0400X, 2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYRB0849Medicare ID - Type Unspecified
NYH48825Medicare UPIN