Organization
HANIFA HEALTHCARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAKIL TUKDI MD (MD/OWNER)
(469) 661-1300
Entity
Organization
Contact information
Practice address
6913 CAMP BOWIE BLVD STE 171, FORT WORTH, TX 76116-7165
(817) 731-6121
Mailing address
PO BOX 250447, PLANO, TX 75025-0447
(469) 661-1300
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1215982723
NPI
TX
Enumeration date
07/09/2021
Last updated
07/09/2021
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