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Individual
DR. SHENIF LADAK
Active
Individual
DR. SHENIF LADAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
2017002247
MO
208D00000X
General Practice Physician
000000064215
TN
208D00000X
General Practice Physician
036149937
IL
208D00000X
General Practice Physician
2014-01584
NC
208D00000X
General Practice Physician
83332
SC
208D00000X
General Practice Physician
MD2021-0501
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NCL490A
MEDICARE PTAN
NC
Enumeration date
10/29/2014
Last updated
11/14/2023
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