Healthcare Provider Details

I. General information

NPI: 1508227703
Provider Name (Legal Business Name): SAQIB & AFIA LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/15/2016
Last Update Date: 03/15/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

605 NW 151ST CIR
EDMOND OK
73013-1144
US

IV. Provider business mailing address

605 NW 151ST CIR
EDMOND OK
73013-1144
US

V. Phone/Fax

Practice location:
  • Phone: 405-601-6181
  • Fax: 405-601-7012
Mailing address:
  • Phone: 405-601-6181
  • Fax: 405-601-7012

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number27672
License Number StateOK

VIII. Authorized Official

Name: SAQIB SHEIKH
Title or Position: PHYSICIAN OWNER
Credential: MD
Phone: 405-601-6181