Healthcare Provider Details

I. General information

NPI: 1871564039
Provider Name (Legal Business Name): FAREED AHMAD SHEIKH D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/27/2006
Last Update Date: 10/30/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

38 WATER ST. STE. 310
HENDERSON NV
89015-7493
US

IV. Provider business mailing address

700 E SILVERADO RANCH BLVD STE 170
LAS VEGAS NV
89183-7518
US

V. Phone/Fax

Practice location:
  • Phone: 702-240-6482
  • Fax: 702-240-8529
Mailing address:
  • Phone: 702-240-6482
  • Fax: 702-804-0957

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number51979
License Number StateNV
# 2
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number227568
License Number StateNY
# 3
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License NumberDO1498
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: