Sheriff, Azra Shibli

Sheriff, Azra Shibli is an individual health care provider with primary practice located at 9128 Columbia Ave Ste A, Munster IN 46321-2600. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Sheriff, Azra Shibli can be contacted via phone (219) 836-2730.

Contact Information

Primary practice address
9128 Columbia Ave Ste A Munster IN 46321-2600
Fax: (219) 836-0244
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 01032560 Indiana
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 01032560 Indiana

Profile Details

NPI number 1053321141
LBN Legal business name Sheriff, Azra Shibli
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2006
Last updated Jun 30th, 2016 - about 8 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 1053321141 NPPES
Indiana MEDICAID 100212430A

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