Individual
DR. SHAMIR HAJI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11104 PARKVIEW CIRCLE DR STE 110, FORT WAYNE, IN 46845-1673
(260) 425-6780
(260) 425-6789
Mailing address
3702 NEW VISION DR BLDG B, FORT WAYNE, IN 46845-1703
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
244207
MA
2084A2900X
Neurocritical Care Physician
Primary
01082886A
IN
2084N0400X
Neurology Physician
105661
MN
2084N0400X
Neurology Physician
54435
MN
2084N0400X
Neurology Physician
54810
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ENROLLED
—
IA
05
—
ENROLLED
—
MN
05
—
ENROLLED
—
WI
01
—
P01116714
RAILROAD MEDICARE
MN
05
—
Q024006
—
TN
Enumeration date
07/21/2010
Last updated
10/12/2022
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