Healthcare Provider Details

I. General information

NPI: 1104306190
Provider Name (Legal Business Name): DAUD SHEIKH
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/18/2018
Last Update Date: 08/18/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

795 FOLSOM ST
SAN FRANCISCO CA
94107-1243
US

IV. Provider business mailing address

795 FOLSOM ST
SAN FRANCISCO CA
94107-1243
US

V. Phone/Fax

Practice location:
  • Phone: 855-832-6727
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: