MEDICARE: SAIRA SHAIKH

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	363L00000X	Nurse Practitioner	NPF95011935	CA

General Provider Information

NPI Number	:	1174170476
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SAIRA SHAIKH

Provider Business Mailing Address
First Line	:	1611 S CATALINA AVE STE L701611
Second Line	:
City	:	REDONDO BEACH
State	:	CA
Zip	:	90277-5255
Country	:	US
Telephone Number	:	310-803-7491
Fax Number	:

Provider Business Practice Location Address
First Line	:	1611 S CATALINA AVE STE L701611
Second Line	:
City	:	REDONDO BEACH
State	:	CA
Zip	:	90277-5255
Country	:	US
Telephone Number	:	310-803-7491
Fax Number	:

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

Provider Enumeration Date	:	08/21/2019
Last Update Date	:	08/21/2019

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Directions to “ SAIRA SHAIKH ” Practice Location

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