Provider Demographics
NPI:1265579882
Name:SHAIKH, AHMED FARSAD (MD)
Entity type:Individual
Prefix:
First Name:AHMED
Middle Name:FARSAD
Last Name:SHAIKH
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 1:8686 NEW TRAILS DR 100
Mailing Address - Street 2:
Mailing Address - City:THE WOODLANDS
Mailing Address - State:TX
Mailing Address - Zip Code:77381-1176
Mailing Address - Country:US
Mailing Address - Phone:713-637-1146
Mailing Address - Fax:
Practice Address - Street 1:16088 SAN PEDRO AVE
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78232-2249
Practice Address - Country:US
Practice Address - Phone:877-978-0799
Practice Address - Fax:281-298-5311
Is Sole Proprietor?:No
Enumeration Date:2007-01-31
Last Update Date:2015-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM8338207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8CE200OtherBCBS
TX192256902Medicaid
TX1265579882OtherTRICARE
TX196041102Medicaid
TX1265579882OtherBCBSTX
TX1447397062Medicaid
TX192256903Medicaid
TX126679882OtherTRICARE SOUTH
TX1265579882OtherTRICARE
TX192256902Medicaid
TX8CE200OtherBCBS
TX8L23116Medicare PIN