MEDICARE: NAWAL AQIL SHAIKH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	22DI02877700	NJ

General Provider Information

NPI Number	:	1184207961
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NAWAL AQIL SHAIKH

Provider Business Mailing Address
First Line	:	142 N 6TH AVE
Second Line	:
City	:	MANVILLE
State	:	NJ
Zip	:	08835-1208
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	826 FRANKLIN AVE
Second Line	:
City	:	VALLEY STREAM
State	:	NY
Zip	:	11580-1502
Country	:	US
Telephone Number	:	516-244-1024
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/30/2021
Last Update Date	:	05/23/2025

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Directions to “ NAWAL AQIL SHAIKH ” Practice Location

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