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NPI Code Detail

MEDICARE: DR. AISHA SHAIKH PSY.D

MEDICARE: DR. AISHA SHAIKH PSY.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
1103TC0700XClinical Psychologist33806CA

General Provider Information

NPI Number : 1710604491
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. AISHA SHAIKH PSY.D
Provider Business Mailing Address
First Line : P.O. BOX 2311
Second Line :
City : PALOS VERDES PENINSULA
State : CA
Zip : 90274-8311
Country : US
Telephone Number : 310-704-3307
Fax Number :
Provider Business Practice Location Address
First Line : 14541 DELANO ST
Second Line :
City : VAN NUYS
State : CA
Zip : 91411-2820
Country : US
Telephone Number : 811-331-0515
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/24/2022
Last Update Date : 07/24/2023

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