Provider Demographics
NPI:1255761573
Name:SHAIKH, INTEKHAB
Entity type:Individual
Prefix:
First Name:INTEKHAB
Middle Name:
Last Name:SHAIKH
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23679 CALABASAS RD
Mailing Address - Street 2:SUITE 969
Mailing Address - City:CALABASAS
Mailing Address - State:CA
Mailing Address - Zip Code:91302-1502
Mailing Address - Country:US
Mailing Address - Phone:877-416-7131
Mailing Address - Fax:818-780-2465
Practice Address - Street 1:969 S VILLAGE OAKS DR
Practice Address - Street 2:SUITE 101
Practice Address - City:COVINA
Practice Address - State:CA
Practice Address - Zip Code:91724-0605
Practice Address - Country:US
Practice Address - Phone:877-416-7131
Practice Address - Fax:818-780-2465
Is Sole Proprietor?:No
Enumeration Date:2013-11-22
Last Update Date:2013-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172A00000XOther Service ProvidersDriver