Healthcare Provider Details
I. General information
NPI: 1205862513
Provider Name (Legal Business Name): KAMRAN F. SHEIKH MD PC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/26/2006
Last Update Date: 04/25/2008
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
22821 ORCHARD LAKE RD
FARMINGTON MI
48336-3230
US
IV. Provider business mailing address
22821 ORCHARD LAKE RD
FARMINGTON MI
48336-3230
US
V. Phone/Fax
- Phone: 248-615-6600
- Fax: 248-615-6605
- Phone: 248-615-6600
- Fax: 248-615-6605
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207R00000X |
| Taxonomy | Internal Medicine Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207RP1001X |
| Taxonomy | Pulmonary Disease Physician |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 208D00000X |
| Taxonomy | General Practice Physician |
| License Number | |
| License Number State | |
| # 4 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
KAMRAN
SHEIKH
Title or Position: PRESIDENT/OWNER
Credential: MD
Phone: 248-615-6600