Healthcare Provider Details

I. General information

NPI: 1679571376
Provider Name (Legal Business Name): JAWAD ZAR SHAIKH M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/07/2005
Last Update Date: 08/27/2025
Certification Date: 08/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11130 CHRISTUS HILLS STE 207 MEDICAL PLAZA 3
SAN ANTONIO TX
78251
US

IV. Provider business mailing address

PO BOX 782189
SAN ANTONIO TX
78278-2189
US

V. Phone/Fax

Practice location:
  • Phone: 210-228-0044
  • Fax: 210-228-0045
Mailing address:
  • Phone: 210-228-0044
  • Fax: 210-228-0045

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RI0011X
TaxonomyInterventional Cardiology Physician
License NumberK3460
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License NumberK3460
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: