Healthcare Provider Details

I. General information

NPI: 1679769020
Provider Name (Legal Business Name): AHMAD YUSUF SHEIKH MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/19/2007
Last Update Date: 05/13/2024
Certification Date: 05/13/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2238 GEARY BLVD
SAN FRANCISCO CA
94115-3416
US

IV. Provider business mailing address

300 PASTEUR DR STANFORD UNIVERSITY MEDICAL CENTER, FALK CVRB
STANFORD CA
94305-2200
US

V. Phone/Fax

Practice location:
  • Phone: 415-833-2000
  • Fax: 650-725-3846
Mailing address:
  • Phone: 650-721-2552
  • Fax: 650-725-3846

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code204F00000X
TaxonomyTransplant Surgery Physician
License NumberA92408
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberL-210863
License Number StateMA
# 3
Primary TaxonomyY
Taxonomy Code208G00000X
TaxonomyThoracic Surgery (Cardiothoracic Vascular Surgery) Physician
License NumberA92408
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: