Provider Demographics
NPI:1457790032
Name:SHEIKHI, LILA EMILY (MD)
Entity Type:Individual
Prefix:
First Name:LILA
Middle Name:EMILY
Last Name:SHEIKHI
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 1:3500 FRANCISCAN WAY STE 300
Mailing Address - Street 2:
Mailing Address - City:MICHIGAN CITY
Mailing Address - State:IN
Mailing Address - Zip Code:46360-0021
Mailing Address - Country:US
Mailing Address - Phone:219-214-4633
Mailing Address - Fax:
Practice Address - Street 1:3500 FRANCISCAN WAY STE 300
Practice Address - Street 2:
Practice Address - City:MICHIGAN CITY
Practice Address - State:IN
Practice Address - Zip Code:46360-0021
Practice Address - Country:US
Practice Address - Phone:219-214-4633
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-17
Last Update Date:2023-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2022-025192084V0102X
PAMD4799732084V0102X
AL451072084V0102X
NJ25MA116392002084V0102X
MT1147562084V0102X
KYTP4242084V0102X
MA2943812084V0102X
OH35.131942084V0102X
WAMD613469812084V0102X
IL0361611742084V0102X
IN01088572A2084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
No2084V0102XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyVascular Neurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
14648671OtherCAQH