Ibrahim, Shariq M
Ibrahim, Shariq M is an individual health care provider with primary practice located at 8317 Calumet Ave , Munster IN 46321-1737. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Interventional Pain Medicine, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Interventional Pain Medicine is his primary health care specialty. Ibrahim, Shariq M can be contacted via phone (219) 513-2333.Contact Information
Primary practice address
8317 Calumet Ave
Munster IN 46321-1737
Phone: (219) 513-2333
Fax: (219) 513-2333
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 01062605A | Indiana |
| Allopathic & Osteopathic Physicians / Interventional Pain Medicine | 208VP0014X | 01062605A | Indiana |
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | 01062605A | Indiana |
Profile Details
| NPI number | 1245336486 |
|---|---|
| LBN Legal business name | Ibrahim, Shariq M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 15th, 2006 |
| Last updated | Apr 30th, 2014 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1245336486 | NPPES |
| Indiana | Other | 000000494372 | ANTHEM BCBS |
| Indiana | Other | 000000573813 | ANTHEM BCBS |
| Indiana | MEDICAID | 200859300 | ANTHEM BCBS |
| Indiana | Other | 7163911 | ANTHEM BCBS |
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