MEDICARE: WIQAR U. SHEIKH, M.D, P.A

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	207Q00000X	Family Medicine Physician	ME79299	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	06053	OTHER	FL	BLUE CROSS BLUE SHEILD

General Provider Information

NPI Number	:	1376516542
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WIQAR U. SHEIKH, M.D, P.A

Provider Business Mailing Address
First Line	:	7326 SOUTHGATE BLVD
Second Line	:
City	:	NORTH LAUDERDALE
State	:	FL
Zip	:	33068-1427
Country	:	US
Telephone Number	:	954-721-8707
Fax Number	:

Provider Business Practice Location Address
First Line	:	7326 SOUTHGATE BLVD
Second Line	:
City	:	NORTH LAUDERDALE
State	:	FL
Zip	:	33068-1427
Country	:	US
Telephone Number	:	954-721-8707
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR
Name	:	DR. WIQAR UDDIN SHEIKH
Credential	:	M.D.
Telephone Number	:	954-721-8707

Provider Enumeration Date	:	02/09/2006
Last Update Date	:	12/05/2007

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