Healthcare Provider Details

I. General information

NPI: 1467565440
Provider Name (Legal Business Name): MAHER GEORGE AL-SHEIKH MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/16/2006
Last Update Date: 08/15/2025
Certification Date: 08/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4780 OKEMOS RD SUITE 4
OKEMOS MI
48864-1669
US

IV. Provider business mailing address

PO BOX 3140
GRAND RAPIDS MI
49501-3140
US

V. Phone/Fax

Practice location:
  • Phone: 517-349-3210
  • Fax: 517-349-7345
Mailing address:
  • Phone: 616-459-0898
  • Fax: 616-591-0430

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number4301065921
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: