MEDICARE: HUSAM ELSHEIKH 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	207RG0100X	Gastroenterology Physician	A41651	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1356427512
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HUSAM ELSHEIKH M.D.

Provider Business Mailing Address
First Line	:	8851 CENTER DR STE 303
Second Line	:
City	:	LA MESA
State	:	CA
Zip	:	91942-3017
Country	:	US
Telephone Number	:	619-464-1138
Fax Number	:	619-464-4987

Provider Business Practice Location Address
First Line	:	8851 CENTER DR STE 303
Second Line	:
City	:	LA MESA
State	:	CA
Zip	:	91942-3017
Country	:	US
Telephone Number	:	619-464-1138
Fax Number	:	619-464-4987

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

Provider Enumeration Date	:	10/31/2006
Last Update Date	:	03/25/2026

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Directions to “ HUSAM ELSHEIKH M.D.” Practice Location

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