Healthcare Provider Details

I. General information

NPI: 1598199325
Provider Name (Legal Business Name): ANWER A SHAIKH, M.D., INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/28/2013
Last Update Date: 01/30/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

347 E BARSTOW AVE SUITE 108
FRESNO CA
93710-5282
US

IV. Provider business mailing address

347 E BARSTOW AVE STE 108
FRESNO CA
93710-6039
US

V. Phone/Fax

Practice location:
  • Phone: 559-431-0995
  • Fax: 559-431-0998
Mailing address:
  • Phone: 559-431-0995
  • Fax: 559-431-0998

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License NumberA80989
License Number StateCA

VIII. Authorized Official

Name: DR. ANWER A SHAIKH
Title or Position: OWNER
Credential: M.D.
Phone: 559-431-0995