Individual
AMJAD SHIHADEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
12750 ST FRANCIS DR, CROWN POINT, IN 46307-0264
(219) 757-6121
(219) 681-6897
Mailing address
PO BOX 781076, DETROIT, MI 48278-1076
(317) 528-4800
(317) 865-1479
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01067914A
IN
207R00000X
Internal Medicine Physician
50911
WI
208M00000X
Hospitalist Physician
Primary
01067914A
IN
Other
Enumeration date
10/10/2007
Last updated
01/12/2024
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