Healthcare Provider Details

I. General information

NPI: 1902105588
Provider Name (Legal Business Name): DAANISH KHALID SHAIKH M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/21/2011
Last Update Date: 09/23/2025
Certification Date: 09/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2451 E BASELINE RD STE 430
GILBERT AZ
85234-2473
US

IV. Provider business mailing address

8 CADILLAC DR STE 300
BRENTWOOD TN
37027-5337
US

V. Phone/Fax

Practice location:
  • Phone: 602-313-4391
  • Fax: 480-699-4427
Mailing address:
  • Phone: 615-425-0220
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207QA0401X
TaxonomyAddiction Medicine (Family Medicine) Physician
License Number055269
License Number StateCT
# 2
Primary TaxonomyN
Taxonomy Code207QA0401X
TaxonomyAddiction Medicine (Family Medicine) Physician
License Number00293900
License Number StateNY
# 3
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number036136381
License Number StateIL
# 4
Primary TaxonomyY
Taxonomy Code2083A0300X
TaxonomyAddiction Medicine (Preventive Medicine) Physician
License Number75292
License Number StateAZ
# 5
Primary TaxonomyN
Taxonomy Code2083A0300X
TaxonomyAddiction Medicine (Preventive Medicine) Physician
License Number1019903
License Number StateMA
# 6
Primary TaxonomyN
Taxonomy Code2083A0300X
TaxonomyAddiction Medicine (Preventive Medicine) Physician
License Number64553-20
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: