Healthcare Provider Details

I. General information

NPI: 1518206622
Provider Name (Legal Business Name): WIQAR U SHEIKH MD PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/08/2013
Last Update Date: 02/08/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7326 SOUTHGATE BLVD
N LAUDERDALE FL
33068-1427
US

IV. Provider business mailing address

7326 SOUTHGATE BLVD
N LAUDERDALE FL
33068-1427
US

V. Phone/Fax

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

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: DR. WIQAR SHEIKH
Title or Position: PHYSICIAN
Credential: M.D.
Phone: 954-721-8707