Provider Demographics
NPI:1457342974
Name:SHEIKH, SHAMS F (MD)
Entity Type:Individual
Prefix:DR
First Name:SHAMS
Middle Name:F
Last Name:SHEIKH
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 1:3 VIAGGIO LN
Mailing Address - Street 2:
Mailing Address - City:FOOTHILL RANCH
Mailing Address - State:CA
Mailing Address - Zip Code:92610-1926
Mailing Address - Country:US
Mailing Address - Phone:949-388-3049
Mailing Address - Fax:
Practice Address - Street 1:3 VIAGGIO LN
Practice Address - Street 2:
Practice Address - City:FOOTHILL RANCH
Practice Address - State:CA
Practice Address - Zip Code:92610-1926
Practice Address - Country:US
Practice Address - Phone:949-388-3049
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-11-03
Last Update Date:2024-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2202282085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAJ27553OtherBCBS MA
MA469301OtherTUFTS HEALTH PLAN
MA2069750Medicaid
I09672Medicare UPIN
MAJ27553OtherBCBS MA