Provider Demographics
NPI:1821196684
Name:SHAIKH, JAFFAR A (MD)
Entity Type:Individual
Prefix:DR
First Name:JAFFAR
Middle Name:A
Last Name:SHAIKH
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:621 S ILLINOIS AVE
Mailing Address - Street 2:SUITE 103
Mailing Address - City:MASON CITY
Mailing Address - State:IA
Mailing Address - Zip Code:50401-5489
Mailing Address - Country:US
Mailing Address - Phone:641-494-3041
Mailing Address - Fax:641-494-3059
Practice Address - Street 1:910 N EISENHOWER
Practice Address - Street 2:SUITE PEDS
Practice Address - City:MASON CITY
Practice Address - State:IA
Practice Address - Zip Code:50401-0000
Practice Address - Country:US
Practice Address - Phone:641-422-5437
Practice Address - Fax:641-422-5800
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2021-04-20
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IA317732080A0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080A0000XAllopathic & Osteopathic PhysiciansPediatricsAdolescent Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA1162933Medicaid
IA12150OtherWELLMARK
IA1162933Medicaid
IA12150OtherWELLMARK