Provider Demographics
NPI:1841380714
Name:SAIKH, SHAHARIAR H (MD)
Entity Type:Individual
Prefix:
First Name:SHAHARIAR
Middle Name:H
Last Name:SAIKH
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:PO BOX 713260
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60677-1260
Mailing Address - Country:US
Mailing Address - Phone:630-469-9200
Mailing Address - Fax:
Practice Address - Street 1:1220 HOBSON RD STE 204
Practice Address - Street 2:
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60540-8138
Practice Address - Country:US
Practice Address - Phone:630-416-7766
Practice Address - Fax:630-717-8491
Is Sole Proprietor?:No
Enumeration Date:2006-10-13
Last Update Date:2023-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301083528207Q00000X
IL036-118352207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WISAIKHSHAOtherMERCYCARE INSURANCE
MI4301083528OtherSTATE LICENSE
ILP00738120CG6042OtherRR MEDICARE
ILP00738120CG6042OtherRR MEDICARE