Provider Demographics
NPI:1548685134
Name:ASIF SHEIKH, MD LLC
Entity type:Organization
Organization Name:ASIF SHEIKH, MD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MOHAMMED
Authorized Official - Middle Name:ASIF
Authorized Official - Last Name:SHEIKH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:985-974-1798
Mailing Address - Street 1:PO BOX 2091
Mailing Address - Street 2:
Mailing Address - City:MANDEVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:70470-2091
Mailing Address - Country:US
Mailing Address - Phone:985-974-1798
Mailing Address - Fax:866-626-4903
Practice Address - Street 1:1125 AVENUE DU CHATEAU
Practice Address - Street 2:
Practice Address - City:COVINGTON
Practice Address - State:LA
Practice Address - Zip Code:70433-6415
Practice Address - Country:US
Practice Address - Phone:985-974-1798
Practice Address - Fax:866-626-4903
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-19
Last Update Date:2014-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAMD14186R207RG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric MedicineGroup - Single Specialty