Individual
GHAZALA SHAHID
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4902 W 75TH AVE, SCHERERVILLE, IN 46375-3417
(219) 678-0585
Mailing address
4902 W 75TH AVE, SCHERERVILLE, IN 46375-3417
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71012881A
IN
Other
Enumeration date
08/16/2022
Last updated
08/16/2022
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