Provider Demographics
NPI:1790833226
Name:RAAD AL-SHAIKH MD INC.
Entity type:Organization
Organization Name:RAAD AL-SHAIKH MD INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RAAD
Authorized Official - Middle Name:ANDREW
Authorized Official - Last Name:AL-SHAIKH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:530-885-9191
Mailing Address - Street 1:10556 COMBIE RD
Mailing Address - Street 2:PMB 6618
Mailing Address - City:AUBURN
Mailing Address - State:CA
Mailing Address - Zip Code:95602-8908
Mailing Address - Country:US
Mailing Address - Phone:510-791-9600
Mailing Address - Fax:510-791-9604
Practice Address - Street 1:11720 EDUCATION ST STE 1
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:CA
Practice Address - Zip Code:95602-2419
Practice Address - Country:US
Practice Address - Phone:530-885-9191
Practice Address - Fax:530-823-9119
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-08
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A630050Medicaid
CAH45362Medicare UPIN
CA00A630050Medicaid