Basic Information
| Provider Information | |||||||||
| NPI: | 1003009077 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | SHEIKH | ||||||||
| FirstName: | MOHAMMAD | ||||||||
| MiddleName: | ISRAR | ||||||||
| NamePrefix: | |||||||||
| NameSuffix: | |||||||||
| Credential: | MD | ||||||||
| OtherOrganizationName: | |||||||||
| OtherOrganizationType: | |||||||||
| OtherLastName: | ISRAR | ||||||||
| OtherFirstName: | SHEIKH | ||||||||
| OtherMiddleName: | MOHAMMAD | ||||||||
| OtherNamePrefix: | |||||||||
| OtherNameSuffix: | |||||||||
| OtherCredential: | MD | ||||||||
| OtherLastNameType: | 5 | ||||||||
| Mailing Information | |||||||||
| Address1: | 2000 EMBARCADERO STE 400 | ||||||||
| Address2: | |||||||||
| City: | OAKLAND | ||||||||
| State: | CA | ||||||||
| PostalCode: | 946065300 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5105676850 | ||||||||
| FaxNumber: | 5105676850 | ||||||||
| Practice Location | |||||||||
| Address1: | 2000 EMBARCADERO STE 400 | ||||||||
| Address2: | |||||||||
| City: | OAKLAND | ||||||||
| State: | CA | ||||||||
| PostalCode: | 946065300 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5105676850 | ||||||||
| FaxNumber: | 5105676850 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/23/2007 | ||||||||
| LastUpdateDate: | 08/23/2007 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2084P0804X | A 98967 | CA | Y | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | Child & Adolescent Psychiatry |
No ID Information.