Individual
ELTAYEB H ELSHIEKH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3601 W 13 MILE RD, ROYAL OAK, MI 48073-6712
(248) 898-7999
(248) 898-0580
Mailing address
26901 BEAUMONT BLVD, STE 3D, SOUTHFIELD, MI 48033-3849
(701) 780-5000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01062573A
IN
207R00000X
Internal Medicine Physician
10388
ND
207R00000X
Internal Medicine Physician
247847
NY
207R00000X
Internal Medicine Physician
Primary
4301502947
MI
208M00000X
Hospitalist Physician
01062573A
IN
208M00000X
Hospitalist Physician
10388
ND
208M00000X
Hospitalist Physician
11910
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000553121
ANTHEM
IN
01
—
000000600893
ANTHEM PROVIDER NUMBER / GROUP ARNETT CLINIC, LLC
IN
05
—
200889470
—
IN
01
—
4630876
AETNA
IN
01
—
P00478522
RAILROAD MEDICARE
IN
Enumeration date
10/04/2006
Last updated
07/20/2022
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