Shareef, Aisha Hasan

Shareef, Aisha Hasan is an sole proprietor health care provider with primary practice located at 5521 W Lincoln Hwy , Crown Point IN 46307-1097. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as her primary health care specialty. Shareef, Aisha Hasan can be contacted via phone (219) 750-9665.

Contact Information

Primary practice address
5521 W Lincoln Hwy Crown Point IN 46307-1097
Fax: (219) 750-9672
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 036121099 Illinois
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 01067804A Indiana

Profile Details

NPI number 1669632964
LBN Legal business name Shareef, Aisha Hasan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 11th, 2008
Last updated Jan 4th, 2017 - about 7 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669632964 NPPES
Indiana Other 000000897701 ANTHEM
Indiana MEDICAID 200975080 ANTHEM
Indiana Other 000000989795 ANTHEM

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