Individual
DR. AYAZ SHAIKH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4233 GATEWAY BLVD, NEWBURGH, IN 47630-8900
(812) 426-9235
(812) 490-4512
Mailing address
PO BOX 1510, EVANSVILLE, IN 47706-1510
(812) 426-9235
(812) 490-4512
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
85893
OH
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
01065635A
IN
2086S0122X
Plastic and Reconstructive Surgery Physician
036116242
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000585313
ANTHEM PROVIDER NUMBER
IN
05
—
200916480
—
IN
Enumeration date
03/16/2006
Last updated
06/28/2018
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