Healthcare Provider Details

I. General information

NPI: 1194784892
Provider Name (Legal Business Name): AROOJ MAQBOOL SHAIKH MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/21/2006
Last Update Date: 04/13/2020
Certification Date: 04/13/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

55 SPINDRIFT DRIVE
WILLIAMSVILLE NY
14221
US

IV. Provider business mailing address

5300 MILITARY RD
LEWISTON NY
14092-1903
US

V. Phone/Fax

Practice location:
  • Phone: 716-631-2500
  • Fax: 716-631-1249
Mailing address:
  • Phone: 716-298-3775
  • Fax: 716-298-2099

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number203091-1
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code2085R0204X
TaxonomyVascular & Interventional Radiology Physician
License Number203091
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: