Individual
SHAKEEL AHMAD TABISH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
19725
ND
2084N0400X
Neurology Physician
2021-01192
NC
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician
88714
SC
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician
PT19725
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
SC
Enumeration date
04/13/2017
Last updated
09/24/2025
Update your record
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