Individual ProviderAisha ShafiqInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address26357 Mcbean Pkwy, Valencia, CA 91355-4488(661) 222-2600(818) 837-5559PECOS EnrollmentBased on the most recent information from CMS, provider Aisha Shafiq is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1679802854Provider TypeIndividualFull NameShafiq, AishaCredentialM.D.GenderFemaleSole ProprietorNoEnumeration Date12/16/2009Last Updated1/5/2021Contact InformationPractice LocationPractice Address26357 Mcbean Pkwy, Valencia, CA 91355-4488Phone(661) 222-2600FaxUnlisted FaxMailing LocationMailing AddressPO Box 9602, Mission Hills, CA 91346-9602Phone(818) 837-5559Fax(818) 792-4793Provider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseA126471CaliforniaCode207R00000XDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense036124390IllinoisCode207R00000XDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense54322WisconsinProvider IdentifiersIDDescriptionIssuerID00A1264710DescriptionMedicaidIssuerUnlistedCalifornia