Provider Demographics
NPI:1982111316
Name:SHEIKH, SOFIA MIRIAM (MD)
Entity Type:Individual
Prefix:DR
First Name:SOFIA
Middle Name:MIRIAM
Last Name:SHEIKH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:SOFIA
Other - Middle Name:MIRIAM
Other - Last Name:HUSSAIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:4003 OAK FOREST DR NE
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30062-8022
Mailing Address - Country:US
Mailing Address - Phone:404-786-3200
Mailing Address - Fax:
Practice Address - Street 1:4003 OAK FOREST DR NE
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30062-8022
Practice Address - Country:US
Practice Address - Phone:404-786-3200
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-01-08
Last Update Date:2018-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA59196208000000X, 207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & Immunology
No208000000XAllopathic & Osteopathic PhysiciansPediatrics