Provider Demographics
NPI:1932290855
Name:SHEIKHOLISLAM, BAGHER MOHAMAD (MD)
Entity Type:Individual
Prefix:MR
First Name:BAGHER
Middle Name:MOHAMAD
Last Name:SHEIKHOLISLAM
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:5301 F STREET
Mailing Address - Street 2:#209
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95819
Mailing Address - Country:US
Mailing Address - Phone:916-733-6006
Mailing Address - Fax:916-454-1446
Practice Address - Street 1:5301 F STREET
Practice Address - Street 2:#209
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95819
Practice Address - Country:US
Practice Address - Phone:916-733-6006
Practice Address - Fax:916-454-1446
Is Sole Proprietor?:No
Enumeration Date:2006-09-27
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA236232080P0205X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0205XAllopathic & Osteopathic PhysiciansPediatricsPediatric Endocrinology