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
Phone: (219) 836-2730
Fax: (219) 836-0244
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1053321141 | NPPES |
Indiana | MEDICAID | 100212430A |
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