Provider Demographics
NPI:1730173204
Name:SHEIKH, AJAZ A (MD)
Entity type:Individual
Prefix:
First Name:AJAZ
Middle Name:A
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:PO BOX 36009
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89133-6009
Mailing Address - Country:US
Mailing Address - Phone:702-659-7796
Mailing Address - Fax:702-659-7805
Practice Address - Street 1:8630 W CHEYENNE AVE
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89129-7260
Practice Address - Country:US
Practice Address - Phone:702-851-9383
Practice Address - Fax:702-851-9380
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-09
Last Update Date:2016-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV112142080P0206X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0206XAllopathic & Osteopathic PhysiciansPediatricsPediatric Gastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV1730173204Medicaid
NV1730173204Medicaid