Organization
9128 COLUMBIA CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AZRA S SHERIFF MD (PRESIDENT)
(219) 836-2730
Entity
Organization
Contact information
Practice address
9128 COLUMBIA CORPORATION, 9128 COLUMBIA AVENUE, MUNSTER, IN 46321
(219) 836-2730
(219) 836-0244
Mailing address
9128 COLUMBIA CORPORATION, 9128 COLUMBIA AVENUE, MUNSTER, IN 46321
(219) 836-2730
(219) 836-0244
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0632560
IN
Other
Enumeration date
11/07/2006
Last updated
08/22/2020
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