SHAKEEL AHMAD TABISH NPI 1114451523

NPI Information

NPI: 1114451523
Provider Name: SHAKEEL AHMAD TABISH
Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Individual

Specialization: Neurology

PECOS Registration: Yes

Address:
2305 37TH AVE SW
MINOT, ND
ZIP 58701
Phone: (701) 857-5000
Get Directions

Shakeel Ahmad Tabish is a neurology psychiatry neurology in Minot, ND with 11 years of experience. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. Shakeel Ahmad Tabish NPI is 1114451523. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2305 37TH AVE SW
MINOT, ND
ZIP 58701-669
Phone: (701) 857-5000

The NPI 1114451523 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/13/2017 and was last updated on 12/27/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2084N0400X	Psychiatry & Neurology	Neurology	2021-01192	NORTH CAROLINA	No
2	2084S0012X	Psychiatry & Neurology	Sleep Medicine	88714	SOUTH CAROLINA	No
3	2084S0012X	Psychiatry & Neurology	Sleep Medicine	PT19725	NORTH DAKOTA	No
4	2084N0400X	Psychiatry & Neurology	Neurology	19725	NORTH DAKOTA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	PENDING	MEDICAID	SOUTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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