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Organization
AMERICAN ASSOCIATION OF VISITING PHYSICIANS
Active
Organization
AMERICAN ASSOCIATION OF VISITING PHYSICIANS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NAZEERULLA SHAIK MD (HEAD MD)
(219) 838-0066
Entity
Organization
Contact information
Practice address
2834 HIGHWAY AVE, HIGHLAND, IN 46322-1629
(219) 838-0066
Mailing address
2834 HIGHWAY AVE, HIGHLAND, IN 46322-1629
(219) 838-0066
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
208D00000X
General Practice Physician
Primary
—
NULL
208D00000X
General Practice Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200300070B
—
IN
Enumeration date
08/07/2007
Last updated
10/23/2014
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