MEDICARE: MR. SHEIKH AHMED TEJAN-SIE 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	207R00000X	Internal Medicine Physician	2005-00554	NC

General Provider Information

NPI Number	:	1346237617
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. SHEIKH AHMED TEJAN-SIE MD

Provider Business Mailing Address
First Line	:	2905 CROUSE LN
Second Line	:
City	:	BURLINGTON
State	:	NC
Zip	:	27215-8833
Country	:	US
Telephone Number	:	336-538-2494
Fax Number	:	336-538-2497

Provider Business Practice Location Address
First Line	:	2905 CROUSE LN
Second Line	:
City	:	BURLINGTON
State	:	NC
Zip	:	27215-8833
Country	:	US
Telephone Number	:	336-538-2494
Fax Number	:	336-538-2497

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

Provider Enumeration Date	:	10/03/2005
Last Update Date	:	02/16/2010

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