Provider Demographics
NPI:1679571376
Name:SHAIKH, JAWAD ZAR (MD)
Entity type:Individual
Prefix:
First Name:JAWAD
Middle Name:ZAR
Last Name:SHAIKH
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:PO BOX 782189
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78278-2189
Mailing Address - Country:US
Mailing Address - Phone:210-228-0044
Mailing Address - Fax:210-228-0045
Practice Address - Street 1:11130 CHRISTUS HILLS STE 207 MEDICAL PLAZA 3
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78251
Practice Address - Country:US
Practice Address - Phone:210-228-0044
Practice Address - Fax:210-228-0045
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-07
Last Update Date:2023-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK3460207RI0011X, 207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX118393109Medicaid
TX118393108Medicaid
TXP00948220OtherRAILROAD
TX167043201OtherTEXAS PROVIDER ID
TX8CK581OtherBCBS
TX8CU321OtherBCBS
TX8CU321OtherBCBS
TX118393109Medicaid
TX118393108Medicaid
TXTXB108115Medicare PIN