Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 204D00000X | Neuromusculoskeletal Medicine (NMM) | MD457314 | PA |
N | 207R00000X | Internist | MT202846 | PA |
N | 111NI0900X | Internist | MT202846 | PA |
N | 207RX0202X | Medical Oncology | 25867 | MS |
N | 2084N0400X | Neurologist | 125.069390 | IL |
Y | 2084N0400X | Neurologist | 25867 | MS |
NPI | 1003171091 |
---|---|
Provider Name | Dr. Nawal Shaikh |
First Address | Jackson, MS 39216-4500 |
Second Address | Jackson, MS 39216-4500 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/07/2012 |
Last Update Date | 11/10/2018 |