Individual
SUMAIRA TALIB SHAIKH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
903 MINERAL POINT AVE, JANESVILLE, WI 53548-2970
(608) 741-3814
(608) 741-3816
Mailing address
903 MINERAL POINT AVE, JANESVILLE, WI 53548-2970
(608) 741-3814
(608) 741-3816
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
54894-20
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1598995995
BCBSWI
WI
05
—
1598995995
—
WI
01
—
K400165796-000054176
WI MEDICARE
WI
01
—
SHAIKSUM
MERCYCARE INSURANCE
WI
Enumeration date
07/20/2009
Last updated
06/20/2018
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