Provider Demographics
NPI:1205066149
Name:SHEIKH, WASIF M (MD, CNIM)
Entity type:Individual
Prefix:DR
First Name:WASIF
Middle Name:M
Last Name:SHEIKH
Suffix:
Gender:M
Credentials:MD, CNIM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 CENTENNIAL AVE
Mailing Address - Street 2:
Mailing Address - City:PISCATAWAY
Mailing Address - State:NJ
Mailing Address - Zip Code:08854-3950
Mailing Address - Country:US
Mailing Address - Phone:708-833-2356
Mailing Address - Fax:
Practice Address - Street 1:200 CENTENNIAL AVE
Practice Address - Street 2:
Practice Address - City:PISCATAWAY
Practice Address - State:NJ
Practice Address - Zip Code:08854-3950
Practice Address - Country:US
Practice Address - Phone:708-833-2356
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-24
Last Update Date:2015-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ1436246ZE0600X
174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZE0600XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherElectroneurodiagnostic
No174400000XOther Service ProvidersSpecialist