Individual
SHEZAD SANAULLAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
303 S MAIN ST, BLUFFTON, IN 46714-2503
(260) 919-3470
(260) 919-3551
Mailing address
6920 POINTE INVERNESS WAY STE 200, FORT WAYNE, IN 46804-7934
(260) 919-3470
(260) 919-3551
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
01093085A
IN
207RC0000X
Cardiovascular Disease Physician
Primary
ME 73987
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
254394000
—
FL
05
—
300088770
—
IN
Enumeration date
07/17/2006
Last updated
01/12/2026
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