MEDICARE: AMJAD SHEIKH DDS PA

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	1223S0112X	Oral and Maxillofacial Surgery (Dentist)	21047	TX
2	1223G0001X	General Practice Dentistry	21047	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1851566129
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AMJAD SHEIKH DDS PA

Provider Business Mailing Address
First Line	:	7008 LYONS AVE
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77020-5359
Country	:	US
Telephone Number	:	713-674-0811
Fax Number	:	713-671-9221

Provider Business Practice Location Address
First Line	:	7008 LYONS AVE
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77020-5359
Country	:	US
Telephone Number	:	713-674-0811
Fax Number	:	713-671-9221

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. AMJAD A SHEIKH
Credential	:	DDS
Telephone Number	:	713-674-0811

Provider Enumeration Date	:	04/28/2008
Last Update Date	:	07/29/2008

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