Provider Demographics
NPI:1891995841
Name:SHAKIL, RUBINA (MD)
Entity Type:Individual
Prefix:
First Name:RUBINA
Middle Name:
Last Name:SHAKIL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8072 PRESTON RD STE 204
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75034-0334
Mailing Address - Country:US
Mailing Address - Phone:214-618-2225
Mailing Address - Fax:214-618-8045
Practice Address - Street 1:8072 PRESTON RD STE 204
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75034-0334
Practice Address - Country:US
Practice Address - Phone:214-618-2225
Practice Address - Fax:214-618-8045
Is Sole Proprietor?:No
Enumeration Date:2007-07-18
Last Update Date:2024-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN40862084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
1891995841OtherNPI NUMBER