MEDICARE: DAANISH KHALID SHAIKH M.D.

Medicare Provider Information

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207QA0401X	Addiction Medicine (Family Medicine) Physician	055269	CT
2	207QA0401X	Addiction Medicine (Family Medicine) Physician	00293900	NY
3	207Q00000X	Family Medicine Physician	036136381	IL
4	2083A0300X	Addiction Medicine (Preventive Medicine) Physician	75292	AZ
5	2083A0300X	Addiction Medicine (Preventive Medicine) Physician	1019903	MA
6	2083A0300X	Addiction Medicine (Preventive Medicine) Physician	64553-20	WI

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	00293900	OTHER	NY	MEDICAL LICENSE
2	055269	OTHER	CT	STATE
3	036136381	OTHER	IL	MEDICAL LICENSE

NPI Number	:	1902105588
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAANISH KHALID SHAIKH M.D.

Provider Business Mailing Address
First Line	:	8 CADILLAC DR STE 300
Second Line	:
City	:	BRENTWOOD
State	:	TN
Zip	:	37027-5337
Country	:	US
Telephone Number	:	615-425-0220
Fax Number	:

Provider Business Practice Location Address
First Line	:	2451 E BASELINE RD STE 430
Second Line	:
City	:	GILBERT
State	:	AZ
Zip	:	85234-2473
Country	:	US
Telephone Number	:	602-313-4391
Fax Number	:	480-699-4427

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

Provider Enumeration Date	:	03/21/2011
Last Update Date	:	09/23/2025

2451 E BASELINE RD STE 450
GILBERT, AZ
85234-2473

Practice Phone: 480-485-1879
Practice Fax: