MEDICARE: DR. ANWER ALAM SHAIKH 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	207RX0202X	Medical Oncology Physician	A80989	CA

General Provider Information

NPI Number	:	1609879170
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANWER ALAM SHAIKH M.D.

Provider Business Mailing Address
First Line	:	6323 N FRESNO ST STE 105
Second Line	:
City	:	FRESNO
State	:	CA
Zip	:	93710-5282
Country	:	US
Telephone Number	:	559-431-0995
Fax Number	:	559-431-0998

Provider Business Practice Location Address
First Line	:	2067 W VISTA WAY
Second Line	:
City	:	VISTA
State	:	CA
Zip	:	92083-6031
Country	:	US
Telephone Number	:	760-298-5787
Fax Number	:	760-560-2007

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

Provider Enumeration Date	:	05/27/2005
Last Update Date	:	10/01/2024

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