Individual
TARIK M ELSHEIKH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2401 W UNIVERSITY AVE, MUNCIE, IN 47303-3428
(765) 747-3134
(765) 741-2905
Mailing address
PO BOX 30309, CHARLESTON, SC 29417-0309
(843) 554-9300
(843) 566-8780
Taxonomy
Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
01046076A
IN
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
01046076A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000006522
MPLAN
IN
01
—
000000083407
BLUECROSS BLUE SHEILD
IN
05
—
2099554
—
OH
01
—
6470
PHYSICIAN HEALTH PLAN
IN
Enumeration date
10/06/2006
Last updated
12/17/2007
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