Provider Demographics
NPI:1609414085
Name:SHEIKH, URUSA
Entity type:Individual
Prefix:
First Name:URUSA
Middle Name:
Last Name:SHEIKH
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:43 FOUNDRY AVE
Mailing Address - Street 2:
Mailing Address - City:WALTHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02453-8313
Mailing Address - Country:US
Mailing Address - Phone:781-693-3800
Mailing Address - Fax:781-693-3817
Practice Address - Street 1:43 FOUNDRY AVE
Practice Address - Street 2:
Practice Address - City:WALTHAM
Practice Address - State:MA
Practice Address - Zip Code:02453-8313
Practice Address - Country:US
Practice Address - Phone:781-693-3800
Practice Address - Fax:781-693-3817
Is Sole Proprietor?:No
Enumeration Date:2019-12-16
Last Update Date:2025-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAPA8463363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant