Provider Demographics
NPI:1417347774
Name:SHAFIQ, MUHAMMAD (PT)
Entity Type:Individual
Prefix:
First Name:MUHAMMAD
Middle Name:
Last Name:SHAFIQ
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9800 HERNDON RD
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72204-8805
Mailing Address - Country:US
Mailing Address - Phone:501-408-0209
Mailing Address - Fax:501-295-7679
Practice Address - Street 1:9800 HERNDON RD
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72204-8805
Practice Address - Country:US
Practice Address - Phone:501-408-0209
Practice Address - Fax:501-295-7679
Is Sole Proprietor?:Yes
Enumeration Date:2015-01-26
Last Update Date:2018-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR3783225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist