Individual
DR. AJAZUDDIN Z. SHAIKH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
611 E DOUGLAS RD, STE 208, MISHAWAKA, IN 46545-1464
(574) 232-5928
(574) 232-4888
Mailing address
707 E CEDAR ST, STE 200, SOUTH BEND, IN 46617-2057
(574) 335-8700
(574) 335-0760
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
01031409A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000805966
BCBS
IN
05
—
100223190
—
IN
05
—
100223190A
—
IN
Enumeration date
06/13/2005
Last updated
02/07/2020
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