Mohammad Amanullah Sheikh

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

100024-01 Issued in NY

Practice address

6136 170TH St Apt M4
Fresh Meadows, NY 11365-1957

Phone

(646) 372-0870

Fax

(516) 441-6788

NPI assigned

Mar 25, 2019

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1553472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553472000000",
    "number": "1033679055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8942 202ND ST",
            "city": "HOLLIS",
            "state": "NY",
            "postal_code": "114232202",
            "telephone_number": "631-552-6179",
            "fax_number": "516-441-6788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6136 170TH ST APT M4",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113651957",
            "telephone_number": "646-372-0870",
            "fax_number": "516-441-6788"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6136 170th St",
            "address_purpose": "LOCATION",
            "city": "Fresh Meadows",
            "state": "NY",
            "postal_code": "113651900",
            "country_code": "US",
            "telephone_number": "646-372-0870",
            "fax_number": "516-441-6788",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHEIKH",
        "first_name": "MOHAMMAD",
        "middle_name": "AMANULLAH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-03-25",
        "last_updated": "2019-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "100024-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shahid Shamim, PHYSICAL THERAPIST
• Xin Shao
• Henna Chaya Sharfman
• Gautam Sharma
• Farangiss Shaye
• Daniella Shemtov
• Renuka Shetty-Das, MD
• Michelle Stephanie Sheyman, MD
• Mohammad Shigri
• Sofiya Shimonova

• Internal Medicine Physician in Fresh Meadows, NY
• Providers in Fresh Meadows, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.