Individual
MRS. AZRA SHIBLI SHERIFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9128 COLUMBIA AVE, STE A, MUNSTER, IN 46321-2600
(219) 836-2730
(219) 836-0244
Mailing address
9128 COLUMBIA AVE, STE A, MUNSTER, IN 46321-2600
(219) 836-2730
(219) 836-0244
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
01032560
IN
208000000X
Pediatrics Physician
Primary
01032560
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100212430A
—
IN
Enumeration date
08/09/2006
Last updated
06/30/2016
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