MEDICARE: DR. ABE JAVED SHAIKH MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2085R0202X	Diagnostic Radiology Physician	247140-1	NY
2	2085R0202X	Diagnostic Radiology Physician	A 109712	CA

General Provider Information

NPI Number	:	1073774923
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ABE JAVED SHAIKH MD

Provider Business Mailing Address
First Line	:	518 N LINCOLN AVE
Second Line	:
City	:	MONTEREY PARK
State	:	CA
Zip	:	91755-1208
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	518 N LINCOLN AVE
Second Line	:
City	:	MONTEREY PARK
State	:	CA
Zip	:	91755-1208
Country	:	US
Telephone Number	:	646-265-1992
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/23/2008
Last Update Date	:	01/04/2014

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