Provider Demographics
NPI:1982631875
Name:SHEIKH, ASRAR A (MD)
Entity Type:Individual
Prefix:DR
First Name:ASRAR
Middle Name:A
Last Name:SHEIKH
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 1:1217 US HIGHWAY 41
Mailing Address - Street 2:
Mailing Address - City:SCHERERVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46375-1311
Mailing Address - Country:US
Mailing Address - Phone:219-440-7351
Mailing Address - Fax:219-227-8920
Practice Address - Street 1:1217 US HIGHWAY 41
Practice Address - Street 2:
Practice Address - City:SCHERERVILLE
Practice Address - State:IN
Practice Address - Zip Code:46375-1311
Practice Address - Country:US
Practice Address - Phone:219-440-7351
Practice Address - Fax:219-227-8920
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-27
Last Update Date:2020-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01060322A207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200520530Medicaid
IN141980AAMedicare ID - Type UnspecifiedAPAC,PC
INI31806Medicare UPIN