Active NPI
Latif Aziz Shaikh, M.D.
- Surgery Physician
- Corning, NY
National Provider Identifier
1326055740
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 130124
- Practice address
- 257 E 1St St
Corning, NY 14830-2924 - Phone
- (607) 936-4679
- Fax
- (607) 936-4670
- NPI assigned
- Aug 1, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 130124 | NY | Primary |
Addresses
Primary practice location
257 E 1St St
Corning, NY 14830-2924
Mailing address
257 E 1St St
Corning, NY 14830-2924
Phone (607) 936-4679
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00596709 | Medicaid | NY | |
| 16-476114 | Other | NY | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 130124 | NY | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1219708800000",
"number": "1326055740",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "257 E 1ST ST",
"city": "CORNING",
"state": "NY",
"postal_code": "148302924",
"telephone_number": "607-936-4679",
"fax_number": "607-936-4670"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "257 E 1ST ST",
"city": "CORNING",
"state": "NY",
"postal_code": "148302924",
"telephone_number": "607-936-4679",
"fax_number": "607-936-4670"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAIKH",
"first_name": "LATIF",
"middle_name": "AZIZ",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-01",
"last_updated": "2008-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NY",
"license": "130124",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00596709",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "16-476114",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Corning, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.