Healthcare Provider Details

I. General information

NPI: 1144540477
Provider Name (Legal Business Name): MAHEEN SHEIKH M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/09/2010
Last Update Date: 04/16/2020
Certification Date: 04/16/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8225 W 20TH ST
GREELEY CO
80634-3037
US

IV. Provider business mailing address

9305 W THOMAS RD SUITE 478
PHOENIX AZ
85037-3328
US

V. Phone/Fax

Practice location:
  • Phone: 970-378-1414
  • Fax: 970-378-1515
Mailing address:
  • Phone: 623-236-8507
  • Fax: 623-236-8508

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License NumberDR.0060558
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: