Shareef, Faizuddin

Shareef, Faizuddin is an individual health care provider with primary practice located at 2640 Hamstrom Rd , Portage IN 46368-3832. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Shareef, Faizuddin can be contacted via phone (219) 762-4423.

Contact Information

Primary practice address
2640 Hamstrom Rd Portage IN 46368-3832
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 02003711A Indiana

Profile Details

NPI number 1891980462
LBN Legal business name Shareef, Faizuddin
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 7th, 2007
Last updated Sep 29th, 2011 - about 14 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 1891980462 NPPES
Indiana MEDICAID 200990690

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