Healthcare Provider Details

I. General information

NPI: 1265483531
Provider Name (Legal Business Name): SHAZIA S SHEIKH MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/12/2006
Last Update Date: 01/21/2021
Certification Date: 01/21/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 E DAWSON ST
TYLER TX
75701-2036
US

IV. Provider business mailing address

BAYLOR MEDICINE HOSPITALISTS ONE BAYLOR PLAZA, SUITE NC100, BCM MS: 621
HOUSTON TX
77030
US

V. Phone/Fax

Practice location:
  • Phone: 903-606-7264
  • Fax: 903-525-1254
Mailing address:
  • Phone: 281-745-8392
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License NumberN9956
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberN9956
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: