Organization
SHIFA CLINIC, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ABDUS SAMAD LAKHANI MD (OWNER PHYSICIAN)
(219) 464-9800
Entity
Organization
Contact information
Practice address
2701 LEONARD DRIVE, SUITE A, VALPARAISO, IN 46383
(219) 464-9800
(219) 464-9877
Mailing address
PO BOX 552, CHESTERTON, IN 46304-0552
(219) 464-9800
(219) 464-9877
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
01044934A
IN
174400000X
Specialist
01062237A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200178180A
—
IN
Enumeration date
06/29/2006
Last updated
02/08/2011
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