Provider Demographics
NPI:1245458843
Name:SHAIKH, AZIM (MD)
Entity type:Individual
Prefix:
First Name:AZIM
Middle Name:
Last Name:SHAIKH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3049 WESTMINSTER DR APT 208
Mailing Address - Street 2:
Mailing Address - City:BEAVERCREEK
Mailing Address - State:OH
Mailing Address - Zip Code:45431-8806
Mailing Address - Country:US
Mailing Address - Phone:937-361-5064
Mailing Address - Fax:937-398-0358
Practice Address - Street 1:120 E 7TH ST APT 1B
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10009-6159
Practice Address - Country:US
Practice Address - Phone:937-361-5064
Practice Address - Fax:937-398-0358
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY5540648207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine