Provider Demographics
NPI:1386050342
Name:SHAIKH, ADIL KHALID (M D)
Entity type:Individual
Prefix:DR
First Name:ADIL
Middle Name:KHALID
Last Name:SHAIKH
Suffix:
Gender:F
Credentials:M D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1201 S. CLIFF AVENUE
Mailing Address - Street 2:SUITE 401
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57105
Mailing Address - Country:US
Mailing Address - Phone:605-322-7300
Mailing Address - Fax:605-322-7301
Practice Address - Street 1:1301 SOUTH CLIFF AVE, SUITE 601, AVERA MEDICAL GROUP
Practice Address - Street 2:PHYSICAL MEDICINE AND REHABILITATION
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57105
Practice Address - Country:US
Practice Address - Phone:605-322-6930
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-07-10
Last Update Date:2014-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD9271208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation