Provider Demographics
NPI:1396932638
Name:SHAIKH PEDIATRICS
Entity type:Organization
Organization Name:SHAIKH PEDIATRICS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PEDIATRICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:AYESHA
Authorized Official - Middle Name:R
Authorized Official - Last Name:SHAIKH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:570-839-9880
Mailing Address - Street 1:300 COMMUNITY DR
Mailing Address - Street 2:SUITE E
Mailing Address - City:TOBYHANNA
Mailing Address - State:PA
Mailing Address - Zip Code:18466-8978
Mailing Address - Country:US
Mailing Address - Phone:570-839-9880
Mailing Address - Fax:570-839-9885
Practice Address - Street 1:300 COMMUNITY DR
Practice Address - Street 2:SUITE E
Practice Address - City:TOBYHANNA
Practice Address - State:PA
Practice Address - Zip Code:18466-8978
Practice Address - Country:US
Practice Address - Phone:570-839-9880
Practice Address - Fax:570-839-9885
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-01
Last Update Date:2007-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD038673L2080A0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2080A0000XAllopathic & Osteopathic PhysiciansPediatricsAdolescent MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA2080A0000XOtherTAXONOMY