# HIGHLAND CLINIC OF NORTHWEST INDIANA INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1497954390
- **Authorized official:** DR. NAZEERULLA SHAIK M.D. (PHYSICIAN)
- **Authorized official phone:** (219) 838-0066

## Contact information

- **Practice address:** 2834 HIGHWAY AVE STE 1, HIGHLAND, IN 46322
- **Practice address phone:** (219) 838-0066
- **Practice address fax:** (219) 838-4096
- **Mailing address:** 2834 HIGHWAY AVE STE 1, HIGHLAND, IN 46322-1629
- **Mailing address phone:** (219) 838-0066
- **Mailing address fax:** (219) 838-4096

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | 010226043 | IN | Yes |

## Other

- **Enumeration date:** 07/12/2007
- **Last updated:** 12/10/2018