Healthcare Provider Details

I. General information

NPI: 1346262540
Provider Name (Legal Business Name): ARIF MAHMOOD SHAIKH MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/24/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

239 S FRONT ST
STEELTON PA
17113-2567
US

IV. Provider business mailing address

239 S FRONT ST
STEELTON PA
17113-2567
US

V. Phone/Fax

Practice location:
  • Phone: 717-939-9633
  • Fax: 717-939-3115
Mailing address:
  • Phone: 717-939-9633
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberMD046400L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: