Healthcare Provider Details

I. General information

NPI: 1003656992
Provider Name (Legal Business Name): NOREEN SHAIKH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/29/2024
Last Update Date: 05/29/2024
Certification Date: 05/28/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2570 48TH ST
SACRAMENTO CA
95817-1541
US

IV. Provider business mailing address

5158 BROPHY DR
FREMONT CA
94536-7205
US

V. Phone/Fax

Practice location:
  • Phone: 415-939-4144
  • Fax:
Mailing address:
  • Phone: 415-939-4144
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number95237957
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: