MEDICARE: DR. SUMAIRA TEHSEEN SHEIKH 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	207R00000X	Internal Medicine Physician	SS068776	MI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1108218942	OTHER	MI	BCBS
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1649389800
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SUMAIRA TEHSEEN SHEIKH M.D.

Provider Business Mailing Address
First Line	:	37555 FIORE TRL
Second Line	:
City	:	CLINTON TOWNSHIP
State	:	MI
Zip	:	48036-2037
Country	:	US
Telephone Number	:	586-286-1704
Fax Number	:	734-676-4954

Provider Business Practice Location Address
First Line	:	18600 VAN HORN RD
Second Line	:
City	:	WOODHAVEN
State	:	MI
Zip	:	48183-3828
Country	:	US
Telephone Number	:	734-675-0300
Fax Number	:	734-675-4898

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

Provider Enumeration Date	:	08/30/2006
Last Update Date	:	07/08/2007

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