1033104591 NPI number — AYESHA SHAIKH MD

Table of content: AYESHA SHAIKH MD (NPI 1033104591)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1033104591 NPI number — AYESHA SHAIKH MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SHAIKH
Provider First Name:
AYESHA
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1033104591
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2323 OAK PARK LN
Provider Second Line Business Mailing Address:
STE 202
Provider Business Mailing Address City Name:
SANTA BARBARA
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
93105-4276
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
805-687-5500
Provider Business Mailing Address Fax Number:
805-682-3275

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2323 OAK PARK LN
Provider Second Line Business Practice Location Address:
STE 202
Provider Business Practice Location Address City Name:
SANTA BARBARA
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93105-4276
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-687-5500
Provider Business Practice Location Address Fax Number:
805-682-3275
Provider Enumeration Date:
09/12/2005

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207V00000X , with the licence number:  A41130 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 00A411301 , issued by the state of ( CA ) . This identifiers is of the category "MEDICAID".




Copyright © 2007-2025 www.npivalidator.com