Provider Demographics
NPI:1457429458
Name:SOMJEE, SAIKA SADRUDDIN (MD)
Entity type:Individual
Prefix:
First Name:SAIKA
Middle Name:SADRUDDIN
Last Name:SOMJEE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2060 W 24TH ST
Mailing Address - Street 2:
Mailing Address - City:YUMA
Mailing Address - State:AZ
Mailing Address - Zip Code:85364-6123
Mailing Address - Country:US
Mailing Address - Phone:928-819-8812
Mailing Address - Fax:928-539-5579
Practice Address - Street 1:2060 W 24TH ST
Practice Address - Street 2:
Practice Address - City:YUMA
Practice Address - State:AZ
Practice Address - Zip Code:85364-6123
Practice Address - Country:US
Practice Address - Phone:928-819-8812
Practice Address - Fax:928-539-5579
Is Sole Proprietor?:No
Enumeration Date:2006-11-30
Last Update Date:2009-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ36313208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
1063433720OtherCLINIC NPI
1245344316OtherCLINIC NPI
1962507376OtherCLINIC NPI
AZ216329Medicaid
1043324932OtherCLINIC NPI
1962507376OtherCLINIC NPI
031823Medicare Oscar/Certification
I72372Medicare UPIN
1245344316OtherCLINIC NPI
AZZ21115Medicare PIN
Z21116Medicare PIN
031822Medicare Oscar/Certification
031806Medicare Oscar/Certification
AZZ114623Medicare PIN
AZZ21114Medicare PIN
1063433720OtherCLINIC NPI
AZZ21113Medicare PIN
AZ216329Medicaid
031824Medicare Oscar/Certification