Provider Demographics
NPI:1801938857
Name:SHEIKH, ROOMANA MAQSOOD (MD)
Entity type:Individual
Prefix:DR
First Name:ROOMANA
Middle Name:MAQSOOD
Last Name:SHEIKH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:210 MEETING HOUSE LN
Mailing Address - Street 2:
Mailing Address - City:MERION STATION
Mailing Address - State:PA
Mailing Address - Zip Code:19066-1203
Mailing Address - Country:US
Mailing Address - Phone:610-664-9417
Mailing Address - Fax:
Practice Address - Street 1:850 W LANCASTER AVE
Practice Address - Street 2:2ND FLOOR
Practice Address - City:BRYN MAWR
Practice Address - State:PA
Practice Address - Zip Code:19010-3220
Practice Address - Country:US
Practice Address - Phone:610-520-1510
Practice Address - Fax:610-520-1517
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-13
Last Update Date:2013-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD-059907-L2084P0804X
PAMD059902L2084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1736211Medicaid
PA1736211Medicaid
PAG86973Medicare UPIN