Individual
FAIZAN SHAIKH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
601 W 2ND ST, BLOOMINGTON, IN 47403-2317
(812) 676-4102
Mailing address
601 W 2ND ST, BLOOMINGTON, IN 47403-2317
(812) 676-4102
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01085386A
IN
390200000X
Student in an Organized Health Care Education/Training Program
4351038773
MI
Other
Enumeration date
06/28/2018
Last updated
06/04/2021
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