Provider Demographics
NPI:1841389020
Name:SHEIKH, MANSOORA A (MD)
Entity Type:Individual
Prefix:
First Name:MANSOORA
Middle Name:A
Last Name:SHEIKH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11111 JONES RD
Mailing Address - Street 2:STE # 3
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77070-6317
Mailing Address - Country:US
Mailing Address - Phone:281-970-7797
Mailing Address - Fax:281-970-7710
Practice Address - Street 1:11111 JONES RD
Practice Address - Street 2:SUITE # 3
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77070-6317
Practice Address - Country:US
Practice Address - Phone:281-970-7797
Practice Address - Fax:281-970-7710
Is Sole Proprietor?:No
Enumeration Date:2006-10-12
Last Update Date:2008-05-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXM2097207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8S5947OtherBCBS OF TEXAS
TXP00254075OtherRR MEDICARE
TX613060OtherMEDICARE - INDIVIDUAL
TX179005701Medicaid
TXH885558Medicare UPIN