Healthcare Provider Details

I. General information

NPI: 1457793457
Provider Name (Legal Business Name): AFTAB A SHAIKH MD-CARDIOLOGY PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/19/2013
Last Update Date: 07/19/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6005 PARK AVE SUITE 906
MEMPHIS TN
38119-5202
US

IV. Provider business mailing address

PO BOX 382280
GERMANTOWN TN
38183-2280
US

V. Phone/Fax

Practice location:
  • Phone: 901-683-6925
  • Fax:
Mailing address:
  • Phone: 901-683-6925
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. AFTAB SHAIKH
Title or Position: PRESIDENT
Credential: MD
Phone: 901-871-1672