Provider Demographics
NPI:1780769042
Name:SHARIFF, ALYKHAN AZIM (DC)
Entity type:Individual
Prefix:DR
First Name:ALYKHAN
Middle Name:AZIM
Last Name:SHARIFF
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:1300 SAVANNAH HWY
Mailing Address - Street 2:SUITE 6
Mailing Address - City:CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29407-7849
Mailing Address - Country:US
Mailing Address - Phone:843-573-9333
Mailing Address - Fax:843-573-0089
Practice Address - Street 1:714 SAINT ANDREWS BLVD
Practice Address - Street 2:
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29407-7141
Practice Address - Country:US
Practice Address - Phone:843-573-9333
Practice Address - Fax:843-701-1002
Is Sole Proprietor?:No
Enumeration Date:2006-10-26
Last Update Date:2022-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC2534111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCCH2534Medicaid
SCCH2534Medicaid