Mohammad Taha Mustaf Taha Mustafa Sheikh, M.D.

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

1550 North Northwest Highway Suite 107
L.M. Prasad, MD, SC
Park Ridge, IL 60068

Phone

(847) 759-1110

NPI assigned

Apr 13, 2015

Reactivated

Nov 25, 2015

Sex

Male

Sole proprietor

No

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)

Not enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• LM Prasad M.D S.C

  • Colon & Rectal Surgery Physician
  • Park Ridge, IL
  • NPI 1740360106
  NPD (past)

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

{
    "created_epoch": "1428883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1448409600000",
    "number": "1164818449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1550 NORTH NORTHWEST HIGHWAY SUITE 107",
            "address_2": "L.M. PRASAD, MD, SC",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "60068",
            "telephone_number": "847-759-1110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 NORTH NORTHWEST HIGHWAY SUITE 107",
            "address_2": "L.M. PRASAD, MD, SC",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "60068",
            "telephone_number": "847-759-1110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEIKH",
        "first_name": "MOHAMMAD TAHA MUSTAF",
        "middle_name": "TAHA MUSTAFA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-13",
        "last_updated": "2015-11-25",
        "deactivation_date": "2015-11-17",
        "reactivation_date": "2015-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer King Shay, RDN,LDN
• Thomas G Sheagren, M.D.
• Kathryn T Sheehan
• Janet Sheffer, D.D.S.
• David Neil Sheftel I, M.D.
• Daniel Edward Sherlock, MD
• Ami Sheth, MD
• Jayarama Shetty, M.D.
• Michelle Antoinette Shibrowski, APN FNP
• Sharon Shim, MD

• Student in an Organized Health Care Education/Training Program in Park Ridge, IL
• Providers in Park Ridge, IL by specialty
• Student in an Organized Health Care Education/Training Program in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2015; 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.