Healthcare Provider Details

I. General information

NPI: 1891978334
Provider Name (Legal Business Name): WIQAR U SHEIKH M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/06/2007
Last Update Date: 05/10/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 N ROCK ISLAND RD
MARGATE FL
33063-4905
US

IV. Provider business mailing address

400 N ROCK ISLAND RD
MARGATE FL
33063-4905
US

V. Phone/Fax

Practice location:
  • Phone: 954-721-8707
  • Fax: 954-720-6676
Mailing address:
  • Phone: 954-721-8707
  • Fax: 954-720-6676

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QA0505X
TaxonomyAdult Medicine Physician
License NumberME79299
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: