Healthcare Provider Details

I. General information

NPI: 1508934605
Provider Name (Legal Business Name): WAJIH AL-SHEIKH MD INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/30/2006
Last Update Date: 06/24/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1311 JEFFERSON STREET
DELANO CA
93215
US

IV. Provider business mailing address

PO BOX 489
DELANO CA
93216
US

V. Phone/Fax

Practice location:
  • Phone: 661-721-3510
  • Fax: 661-721-0562
Mailing address:
  • Phone: 661-721-3510
  • Fax: 661-721-0562

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QR0206X
TaxonomyMammography Clinic/Center
License NumberA48283 6428
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code261QR0200X
TaxonomyRadiology Clinic/Center
License NumberA48283 RHL137213
License Number StateCA

VIII. Authorized Official

Name: WAJIH A AL SHEIKH
Title or Position: OWNER RADIOLOGIST
Credential: MD
Phone: 661-721-3510