Healthcare Provider Details

I. General information

NPI: 1215514906
Provider Name (Legal Business Name): WAD ADEL ELSHEIKH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/27/2021
Last Update Date: 02/13/2025
Certification Date: 02/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 HURLEY PLAZA, FLINT, MI 48503.
FLINT MI
48503
US

IV. Provider business mailing address

1 HURLEY PLAZA, FLINT, MI 48503.
FLINT MI
48503
US

V. Phone/Fax

Practice location:
  • Phone: 810-262-9000
  • Fax:
Mailing address:
  • Phone: 810-262-9000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number4301512566
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: