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 1:5353 HARRY HINES BLVD
Mailing Address - Street 2:DEPT OF NEUROLOGY
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75390-7208
Mailing Address - Country:US
Mailing Address - Phone:214-648-3571
Mailing Address - Fax:
Practice Address - Street 1:1400 S MAIN ST STE 502
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76104-4909
Practice Address - Country:US
Practice Address - Phone:817-702-8400
Practice Address - Fax:817-702-3982
Is Sole Proprietor?:No
Enumeration Date:2012-07-06
Last Update Date:2024-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMT202846207R00000X
MS25867207RX0202X, 2084N0400X
PAMD457314204D00000X
TXT8731207RX0202X, 2084N0400X
IL125.0693902084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology
No204D00000XAllopathic & Osteopathic PhysiciansNeuromusculoskeletal Medicine & OMM