Provider Demographics
NPI:1649244328
Name:SHAFIK, SHAWKAT N (MD)
Entity Type:Individual
Prefix:DR
First Name:SHAWKAT
Middle Name:N
Last Name:SHAFIK
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:401 HOSPITAL DR
Mailing Address - Street 2:SUITE 120
Mailing Address - City:CORSICANA
Mailing Address - State:TX
Mailing Address - Zip Code:75110-2415
Mailing Address - Country:US
Mailing Address - Phone:903-872-3005
Mailing Address - Fax:903-872-3050
Practice Address - Street 1:400 HOSPITAL DR
Practice Address - Street 2:SUITE 106
Practice Address - City:CORSICANA
Practice Address - State:TX
Practice Address - Zip Code:75110-2489
Practice Address - Country:US
Practice Address - Phone:903-872-2923
Practice Address - Fax:903-872-2941
Is Sole Proprietor?:No
Enumeration Date:2006-02-17
Last Update Date:2012-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK1667207R00000X, 207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXDG9311OtherRAILROAD MEDICARE GROUP
TX043376503Medicaid
TXP00463096OtherRAILROAD MEDICARE
TX00Y226OtherMEDICARE GROUP
TXP00463096OtherRAILROAD MEDICARE
TX8F6252Medicare PIN