MEDICARE: SHIFA MEDICAL CORPORATION

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	207R00000X	Internal Medicine Physician

General Provider Information

NPI Number	:	1538013719
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SHIFA MEDICAL CORPORATION

Provider Business Mailing Address
First Line	:	1500 S IMPERIAL AVE
Second Line	:
City	:	EL CENTRO
State	:	CA
Zip	:	92243-4241
Country	:	US
Telephone Number	:	760-879-8590
Fax Number	:

Provider Business Practice Location Address
First Line	:	1550 S IMPERIAL AVE
Second Line	:
City	:	EL CENTRO
State	:	CA
Zip	:	92243-4241
Country	:	US
Telephone Number	:	760-879-8590
Fax Number	:

Authorized Official
Title or Position	:	MD
Name	:	SOHAIB TARIQ
Credential	:
Telephone Number	:	760-879-8590

Provider Enumeration Date	:	02/24/2026
Last Update Date	:	04/21/2026

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Directions to “SHIFA MEDICAL CORPORATION ” Practice Location

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