MEDICARE: MR. AHMED ABDUL KADIR SHAIKH MD.

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	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1831023076
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. AHMED ABDUL KADIR SHAIKH MD.

Provider Business Mailing Address
First Line	:	AFFINIA HEALTHCARE, 3396 PERSHALL ROAD
Second Line	:
City	:	FERGUSON
State	:	MO
Zip	:	63135
Country	:	US
Telephone Number	:	314-814-8700
Fax Number	:	314-814-8578

Provider Business Practice Location Address
First Line	:	AFFINIA HEALTHCARE, 3396 PERSHALL ROAD
Second Line	:
City	:	FERGUSON
State	:	MO
Zip	:	63135
Country	:	US
Telephone Number	:	314-814-8700
Fax Number	:	314-814-8578

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

Provider Enumeration Date	:	06/11/2026
Last Update Date	:	06/11/2026

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