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1912969130

NPI Code Detail

MEDICARE: DR. ALI AKHTER SHAIKH MD

MEDICARE: DR. ALI AKHTER 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	2085R0202X	Diagnostic Radiology Physician	056363	GA
2	2085N0700X	Neuroradiology Physician	056363	GA
3	2085R0204X	Vascular & Interventional Radiology Physician	056363	GA
4	208D00000X	General Practice Physician	056363	GA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	P00346867	OTHER	GA	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	52185752006	OTHER	GA	BCBS-PERRY
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	52185752002	OTHER	GA	BCBS-WARNER ROBINS
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1912969130
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ALI AKHTER SHAIKH MD

Provider Business Mailing Address
First Line	:	2929 WATSON BLVD STE 2
Second Line	:	PMB 125
City	:	WARNER ROBINS
State	:	GA
Zip	:	31093-9601
Country	:	US
Telephone Number	:	478-333-3603
Fax Number	:	478-333-3685

Provider Business Practice Location Address
First Line	:	1601 WATSON BLVD
Second Line	:	HOUSTON MEDICAL CENTER, ATTN: RADIOLOGY DEPT
City	:	WARNER ROBINS
State	:	GA
Zip	:	31093-3431
Country	:	US
Telephone Number	:	478-333-3603
Fax Number	:	478-333-3685

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

Provider Enumeration Date	:	04/04/2006
Last Update Date	:	07/08/2016

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Directions to “ DR. ALI AKHTER SHAIKH MD” Practice Location

Language	Start Address	Practice Location

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