Provider Demographics
NPI:1952925117
Name:SHAIKH, KOMAL (DMD)
Entity type:Individual
Prefix:
First Name:KOMAL
Middle Name:
Last Name:SHAIKH
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2695 S WATER ST APT 411
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15203-4015
Mailing Address - Country:US
Mailing Address - Phone:717-654-7393
Mailing Address - Fax:
Practice Address - Street 1:355 5TH AVE STE 1520
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15222-2418
Practice Address - Country:US
Practice Address - Phone:412-891-8284
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-06-03
Last Update Date:2024-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS044660122300000X
TX37212122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty