Basic Information
Provider Information
NPI: 1255592630
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SHAIKH
FirstName: SANA
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 196 THOMAS JOHNSON DR
Address2: SUITE 215
City: FREDERICK
State: MD
PostalCode: 217024397
CountryCode: US
TelephoneNumber: 3016689988
FaxNumber:  
Practice Location
Address1: 196 THOMAS JOHNSON DR
Address2: SUITE 215
City: FREDERICK
State: MD
PostalCode: 217024397
CountryCode: US
TelephoneNumber: 3016689988
FaxNumber:  
Other Information
ProviderEnumerationDate: 06/19/2008
LastUpdateDate: 10/09/2014
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207LP2900X264836NYN Allopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
207LP2900XD78207MDY Allopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
207L00000XD78207MDN Allopathic & Osteopathic PhysiciansAnesthesiology 

No ID Information.


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