Provider Demographics
NPI:1386833580
Name:JAWAD ZAR SHAIKH MD PA
Entity Type:Organization
Organization Name:JAWAD ZAR SHAIKH MD PA
Other - Org Name:CARDIAC CENTER OF SAN ANTONIO, P.A.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT, CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:JAWAD
Authorized Official - Middle Name:ZAR
Authorized Official - Last Name:SHAIKH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:210-228-0044
Mailing Address - Street 1:PO BOX 782189
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78278-2189
Mailing Address - Country:US
Mailing Address - Phone:210-228-0044
Mailing Address - Fax:210-228-0045
Practice Address - Street 1:11130 CHRISTUS HILLS
Practice Address - Street 2:SUITE 207 MEDICAL PLAZA 3
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78251
Practice Address - Country:US
Practice Address - Phone:210-228-0044
Practice Address - Fax:210-228-0045
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-24
Last Update Date:2020-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Multi-Specialty
No207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional CardiologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX167043201Medicaid
TX00771WMedicare PIN
TX167043201Medicaid