Basic Information
Provider Information
NPI: 1760604706
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SHEIKH
FirstName: SHEHZAD
MiddleName: ZAFAR
NamePrefix:  
NameSuffix:  
Credential: M.D. PHD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 101 MANNING DR
Address2: RM 1107G W WING
City: CHAPEL HILL
State: NC
PostalCode: 275144220
CountryCode: US
TelephoneNumber: 9199661072
FaxNumber:  
Practice Location
Address1: 101 MANNING DR
Address2: RM 1107G W WING
City: CHAPEL HILL
State: NC
PostalCode: 275144220
CountryCode: US
TelephoneNumber: 9199661072
FaxNumber:  
Other Information
ProviderEnumerationDate: 05/02/2007
LastUpdateDate: 07/24/2012
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
390200000X  N Student, Health CareStudent in an Organized Health Care Education/Training Program 
207RG0100X2007-01337NCY Allopathic & Osteopathic PhysiciansInternal MedicineGastroenterology

No ID Information.


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