Provider Demographics
NPI:1720260565
Name:MANSOORA A. SHEIKH MD, P.A.
Entity Type:Organization
Organization Name:MANSOORA A. SHEIKH MD, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MANSOORA
Authorized Official - Middle Name:A
Authorized Official - Last Name:SHEIKH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:281-970-7797
Mailing Address - Street 1:11111 JONES RD
Mailing Address - Street 2:STE # 3
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77070-6317
Mailing Address - Country:US
Mailing Address - Phone:281-970-7797
Mailing Address - Fax:281-970-7710
Practice Address - Street 1:11111 JONES RD
Practice Address - Street 2:SUITE # 3
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77070-6317
Practice Address - Country:US
Practice Address - Phone:281-970-7797
Practice Address - Fax:281-970-7710
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-04
Last Update Date:2008-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM2097207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX7589462OtherCIGNA HEALTHCARE
TX8D8354OtherMEDICARE - GROUP
TX0041QU-8AU510OtherBCBS OD TEXAS
TX7521426OtherAETNA
TX2810708OtherUNITED HEALTHCARE