Basic Information
Provider Information
NPI: 1679769376
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SHEIKH
FirstName: SARAH
MiddleName: J
NamePrefix:  
NameSuffix:  
Credential: DO
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 5852 INDIAN SUMMER DR
Address2:  
City: CLARKSVILLE
State: MD
PostalCode: 210291663
CountryCode: US
TelephoneNumber: 2679721976
FaxNumber:  
Practice Location
Address1: 4225 ALTAMONT PL
Address2: SUITE 102
City: WHITE PLAINS
State: MD
PostalCode: 206953063
CountryCode: US
TelephoneNumber: 3018709900
FaxNumber: 3018706458
Other Information
ProviderEnumerationDate: 09/18/2007
LastUpdateDate: 11/23/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 11/23/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207V00000XD001234MDN Allopathic & Osteopathic PhysiciansObstetrics & Gynecology 
207V00000XH74850MDY Allopathic & Osteopathic PhysiciansObstetrics & Gynecology 

No ID Information.


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