Individual
DR. SHAUKAT IFTIKHAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
421 CHESTNUT ST, EVANSVILLE, IN 47713-1227
(812) 426-9454
(812) 858-4512
Mailing address
PO BOX 1510, EVANSVILLE, IN 47706-1510
(812) 450-6815
(812) 858-4512
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
01071136A
IN
207RG0100X
Gastroenterology Physician
200000468
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0191F
NCBC GROUP
NC
01
—
137WO
BCBS NC
NC
05
—
20128480
—
IN
05
—
214262
—
SC
05
—
7100283850
—
KY
05
—
89137W0
—
NC
01
—
P00442382
RR MEDICARE
NC
05
—
PC1896
—
SC
Enumeration date
11/16/2005
Last updated
03/17/2018
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