Provider Demographics
NPI:1013128016
Name:SHEIKH, EDNAN (MD)
Entity Type:Individual
Prefix:
First Name:EDNAN
Middle Name:
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 1:1037 US HIGHWAY 46 STE 103A
Mailing Address - Street 2:
Mailing Address - City:CLIFTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07013-2461
Mailing Address - Country:US
Mailing Address - Phone:888-233-3415
Mailing Address - Fax:888-250-6364
Practice Address - Street 1:1037 US HIGHWAY 46 STE 103A
Practice Address - Street 2:
Practice Address - City:CLIFTON
Practice Address - State:NJ
Practice Address - Zip Code:07013-2461
Practice Address - Country:US
Practice Address - Phone:888-233-3415
Practice Address - Fax:888-250-6364
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-24
Last Update Date:2023-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA08796800207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0250848Medicaid
NJ193284YGN9OtherMEDICARE