# DR. SHENIF LADAK

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1376948604
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | 2017002247 | MO | Yes |
| 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

- **Enumeration date:** 10/29/2014
- **Last updated:** 11/14/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | NCL490A | MEDICARE PTAN | NC |