Individual
ADEELA MASOOD ALIZAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3809 N MAIN ST STE 100B, MISHAWAKA, IN 46545-3109
(574) 520-1700
(833) 989-0916
Mailing address
14751 BRICK RD, GRANGER, IN 46530-7656
(219) 252-4551
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
01068564A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200990440
—
IN
Enumeration date
07/31/2006
Last updated
09/11/2025
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