Healthcare Provider Details

I. General information

NPI: 1386050342
Provider Name (Legal Business Name): ADIL KHALID SHAIKH M. D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/10/2014
Last Update Date: 09/03/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

962 JOE FRANK HARRIS PKWY SE STE 206
CARTERSVILLE GA
30120-2142
US

IV. Provider business mailing address

1900 THE EXCHANGE SE STE 200
ATLANTA GA
30339-2022
US

V. Phone/Fax

Practice location:
  • Phone: 770-291-8987
  • Fax: 678-290-0257
Mailing address:
  • Phone: 770-291-8987
  • Fax: 678-290-0257

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number102635
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: