Organization · NPI-2

Azra S Sheriff MD PC

Clinic/Center · Munster, IN

NPI number1043375983
StatusActive
Last updated in NPPESAug 22, 2020

Details

NPI
1043375983
Entity type
Organization (NPI-2)
Legal business name
Azra S Sheriff MD PC
Organization subpart
No
Enumeration date
Dec 22, 2006
Last updated
Aug 22, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261Q00000X Clinic/Center01032560INYes

Practice location

9128 Columbia Ave
Munster, IN 46321-2907

Phone 219-836-2730 · Fax 219-836-0244

Mailing address

9128 Columbia Ave
Munster, IN 46321-2907

Phone 219-836-2730 · Fax 219-836-0244

Authorized official

Azra S Sheriff
President
2198362730

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