Healthcare Provider Details
I. General information
NPI: 1972743128
Provider Name (Legal Business Name): SALMAN S. SHEIKH, MD, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/01/2009
Last Update Date: 10/05/2022
Certification Date: 10/05/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3155 E SOUTHERN AVE STE 203
MESA AZ
85204-5521
US
IV. Provider business mailing address
1515 N GILBERT RD STE 107-408
GILBERT AZ
85234-2318
US
V. Phone/Fax
- Phone: 480-325-8173
- Fax:
- Phone: 480-325-8173
- Fax: 804-325-8179
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207RC0200X |
| Taxonomy | Critical Care Medicine (Internal Medicine) Physician |
| License Number | 29521 |
| License Number State | AZ |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207RS0012X |
| Taxonomy | Sleep Medicine (Internal Medicine) Physician |
| License Number | 29521 |
| License Number State | AZ |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207RP1001X |
| Taxonomy | Pulmonary Disease Physician |
| License Number | 29521 |
| License Number State | AZ |
VII. Legacy identifiers
For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:
VIII. Authorized Official
Name: DR.
SALMAN
S
SHEIKH
Title or Position: OWNER /PHYSICIAN
Credential: MD
Phone: 480-821-0129