MEDICARE: NEELAM SHEIKH PA-C

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	363AM0700X	Medical Physician Assistant	PA9103882	FL

General Provider Information

NPI Number	:	1679658116
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NEELAM SHEIKH PA-C

Provider Business Mailing Address
First Line	:	4700 NW 99TH TER
Second Line	:
City	:	CORAL SPRINGS
State	:	FL
Zip	:	33076-2439
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2400 W SAMPLE RD STE 4
Second Line	:
City	:	POMPANO BEACH
State	:	FL
Zip	:	33073-3035
Country	:	US
Telephone Number	:	854-580-1036
Fax Number	:

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

Provider Enumeration Date	:	10/25/2006
Last Update Date	:	03/17/2018

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Directions to “ NEELAM SHEIKH PA-C” Practice Location

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