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MUJTABA S SHEIKH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1270 FRIENDSHIP RD, BRASELTON, GA 30517-5630
(678) 207-4200
(770) 533-4771
Mailing address
PO BOX 1060, OAKWOOD, GA 30566-0018
(770) 718-1122

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
055702
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
01191774
AMERIGROUP
GA
05
2928517070B
GA
05
2928517070C
GA
05
2928517070D
GA
05
2928517070E
GA
05
2928517070F
GA
01
424145
WELLCARE
GA
01
424208
WELLCARE
GA
01
454241
WELLCARE
GA
01
454249
WELLCARE
GA
01
4858323
CIGNA
GA
01
52703777
BCBS
GA
01
530652
WELLCARE
GA
01
582117020
TRICARE
GA
01
582117020018
TRICARE
GA
01
582117020024
TRICARE
GA
01
582117020030
TRICARE
GA
01
7955625
AETNA
GA
Enumeration date
09/02/2006
Last updated
02/04/2026
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