MEDICARE: ZAINAB ABDUL REHMAN SHEIKH DMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	DS042870	PA

General Provider Information

NPI Number	:	1205446481
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ZAINAB ABDUL REHMAN SHEIKH DMD

Provider Business Mailing Address
First Line	:	121 S 43RD ST APT 402
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19104-3195
Country	:	US
Telephone Number	:	267-602-7262
Fax Number	:

Provider Business Practice Location Address
First Line	:	2455 GRANT AVE
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19114-1004
Country	:	US
Telephone Number	:	267-367-5015
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/03/2020
Last Update Date	:	08/03/2020

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