MEDICARE: DR. SHAHZAD ANWER SHEIKH M.D.

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	208000000X	Pediatrics Physician	K4565	TX
2	2080A0000X	Pediatric Adolescent Medicine Physician	K4565	TX

General Provider Information

NPI Number	:	1083783500
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SHAHZAD ANWER SHEIKH M.D.

Provider Business Mailing Address
First Line	:	19238 STONEHUE
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78258-3447
Country	:	US
Telephone Number	:	210-494-2223
Fax Number	:	210-941-0142

Provider Business Practice Location Address
First Line	:	14855 BLANCO RD STE 400
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78216-7731
Country	:	US
Telephone Number	:	210-492-0900
Fax Number	:	210-492-0977

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

Provider Enumeration Date	:	11/07/2006
Last Update Date	:	08/16/2022

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