Provider Demographics
NPI:1679765234
Name:SHAKIR, ADIL (MD)
Entity Type:Individual
Prefix:
First Name:ADIL
Middle Name:
Last Name:SHAKIR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:420 W. LINFIELD-TRAPPE RD
Mailing Address - Street 2:SUITE 1000
Mailing Address - City:LIMERICK
Mailing Address - State:PA
Mailing Address - Zip Code:19468
Mailing Address - Country:US
Mailing Address - Phone:610-495-2650
Mailing Address - Fax:
Practice Address - Street 1:420 W LINFIELD TRAPPE RD STE 1000
Practice Address - Street 2:
Practice Address - City:LIMERICK
Practice Address - State:PA
Practice Address - Zip Code:19468-4275
Practice Address - Country:US
Practice Address - Phone:610-495-2650
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-08-16
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD437800207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine