Healthcare Provider Details

I. General information

NPI: 1861180275
Provider Name (Legal Business Name): CHANZA SHAIKH MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/25/2023
Last Update Date: 07/22/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1325 S CLIFF AVE
SIOUX FALLS SD
57105-1005
US

IV. Provider business mailing address

1325 S CLIFF AVE
SIOUX FALLS SD
57105-1005
US

V. Phone/Fax

Practice location:
  • Phone: 605-322-8000
  • Fax:
Mailing address:
  • Phone: 605-322-8000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number18674
License Number StateSD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: