Provider Demographics
NPI:1003171091
Name:SHAIKH, NAWAL
Entity Type:Individual
Prefix:DR
First Name:NAWAL
Middle Name:
Last Name:SHAIKH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:NAWAL
Other - Middle Name:
Other - Last Name:SHAIKH
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:5323 HARRY HINES BLVD
Mailing Address - Street 2:DEPT. OF NEUROLOGY; OFFICE ND3.300BB
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75390-8813
Mailing Address - Country:US
Mailing Address - Phone:214-645-1888
Mailing Address - Fax:214-645-6239
Practice Address - Street 1:6202 HARRY HINES BLVD
Practice Address - Street 2:LEVEL 9 WORKROOM 206
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75390
Practice Address - Country:US
Practice Address - Phone:214-645-4673
Practice Address - Fax:214-645-2615
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-06
Last Update Date:2023-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD457314204D00000X
PAMT202846207R00000X
MS25867207RX0202X, 2084N0400X
TXT87312084N0400X, 207RX0202X
IL125.0693902084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology
No204D00000XAllopathic & Osteopathic PhysiciansNeuromusculoskeletal Medicine & OMM
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology