Provider Demographics
NPI:1134940554
Name:SHEIKH, GHAZANFAR ALI (MD)
Entity type:Individual
Prefix:
First Name:GHAZANFAR
Middle Name:ALI
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 1:23297 SOUTHDOWN MANOR TER UNIT 104
Mailing Address - Street 2:
Mailing Address - City:ASHBURN
Mailing Address - State:VA
Mailing Address - Zip Code:20148-8149
Mailing Address - Country:US
Mailing Address - Phone:571-363-5640
Mailing Address - Fax:
Practice Address - Street 1:23297 SOUTHDOWN MANOR TER UNIT 104
Practice Address - Street 2:
Practice Address - City:ASHBURN
Practice Address - State:VA
Practice Address - Zip Code:20148-8149
Practice Address - Country:US
Practice Address - Phone:571-363-5640
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-18
Last Update Date:2024-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY123273208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics