Individual
SHAKEEL AHMAD TABISH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2305 37TH AVE SW, MINOT, ND 58701-7669
(701) 857-5000
Mailing address
PO BOX 5010, MINOT, ND 58702-5010
(701) 418-8000
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
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