Provider Demographics
NPI:1982777355
Name:SHEIKH, FIROZ (MD)
Entity Type:Individual
Prefix:DR
First Name:FIROZ
Middle Name:
Last Name:SHEIKH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:FIROZ
Other - Middle Name:AHMED
Other - Last Name:SHEIKH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:P.O. BOX 66638
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90066-9998
Mailing Address - Country:US
Mailing Address - Phone:310-876-1514
Mailing Address - Fax:310-876-1554
Practice Address - Street 1:9808 VENICE BLVD STE 703
Practice Address - Street 2:
Practice Address - City:CULVER CITY
Practice Address - State:CA
Practice Address - Zip Code:90232-6807
Practice Address - Country:US
Practice Address - Phone:310-876-1514
Practice Address - Fax:310-876-1554
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-15
Last Update Date:2022-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA 54835207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAG73959Medicare UPIN