Provider Demographics
NPI:1902855927
Name:SHEIKH, MAHMUD (MD)
Entity Type:Individual
Prefix:DR
First Name:MAHMUD
Middle Name:
Last Name:SHEIKH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2230 CHATSWORTH CT
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89074-5309
Mailing Address - Country:US
Mailing Address - Phone:702-210-9703
Mailing Address - Fax:
Practice Address - Street 1:2230 CHATSWORTH CT
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89074-5309
Practice Address - Country:US
Practice Address - Phone:702-210-9703
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-08
Last Update Date:2010-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV8419207R00000X, 208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV100505367Medicaid
NVF74025Medicare UPIN
NV100505367Medicaid