Provider Demographics
NPI:1720039514
Name:SHAIKH, NAVEED (MD)
Entity Type:Individual
Prefix:DR
First Name:NAVEED
Middle Name:
Last Name:SHAIKH
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 1:50897 TELLURIDE
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:MI
Mailing Address - Zip Code:48187-4477
Mailing Address - Country:US
Mailing Address - Phone:734-624-9439
Mailing Address - Fax:313-576-3624
Practice Address - Street 1:50897 TELLURIDE
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:MI
Practice Address - Zip Code:48187-4477
Practice Address - Country:US
Practice Address - Phone:734-624-9439
Practice Address - Fax:313-576-3624
Is Sole Proprietor?:No
Enumeration Date:2006-05-15
Last Update Date:2022-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301066916207RG0300X, 208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI4737517Medicaid
MI08OG21014OtherBCBS
MIP00258732OtherRAILROAD MEDICARE
MIP00258732OtherRAILROAD MEDICARE
MIOP19260 007Medicare PIN