Healthcare Provider Details

I. General information

NPI: 1134075344
Provider Name (Legal Business Name): FAZEEN BIBI SHAIKH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/09/2026
Last Update Date: 03/09/2026
Certification Date: 03/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

241 ONEIDA AVE
SAN FRANCISCO CA
94112-3228
US

IV. Provider business mailing address

241 ONEIDA AVE
SAN FRANCISCO CA
94112-3228
US

V. Phone/Fax

Practice location:
  • Phone: 415-469-4535
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: