Provider Demographics
NPI:1053427625
Name:MANZOOR, SHAIKH ARIF (MD)
Entity type:Individual
Prefix:
First Name:SHAIKH
Middle Name:ARIF
Last Name:MANZOOR
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 1:132 CAYUGA RD
Mailing Address - Street 2:SUITE 1-C
Mailing Address - City:CHEEKTOWAGA
Mailing Address - State:NY
Mailing Address - Zip Code:14225-1942
Mailing Address - Country:US
Mailing Address - Phone:716-204-9711
Mailing Address - Fax:716-204-9717
Practice Address - Street 1:132 CAYUGA RD
Practice Address - Street 2:SUITE 1-C
Practice Address - City:CHEEKTOWAGA
Practice Address - State:NY
Practice Address - Zip Code:14225-1942
Practice Address - Country:US
Practice Address - Phone:716-204-9711
Practice Address - Fax:716-204-9717
Is Sole Proprietor?:No
Enumeration Date:2006-08-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY192926207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine