Provider Demographics
NPI:1205922333
Name:SHEIKH, FIRDOS S (MD)
Entity type:Individual
Prefix:MS
First Name:FIRDOS
Middle Name:S
Last Name:SHEIKH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 30
Mailing Address - Street 2:
Mailing Address - City:WILTON
Mailing Address - State:CA
Mailing Address - Zip Code:95693-0030
Mailing Address - Country:US
Mailing Address - Phone:916-681-2226
Mailing Address - Fax:916-681-2241
Practice Address - Street 1:9381 E STOCKTON BLVD
Practice Address - Street 2:SUITE #124
Practice Address - City:ELK GROVE
Practice Address - State:CA
Practice Address - Zip Code:95624-5068
Practice Address - Country:US
Practice Address - Phone:916-681-2226
Practice Address - Fax:916-681-2241
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-05
Last Update Date:2018-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA0507042084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A507041Medicare PIN
CAF89741Medicare UPIN