Individual
DR. AMMAR M SHAHEEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8909 BROADWAY, MERRILLVILLE, IN 46410-7039
(219) 769-0054
(219) 769-1793
Mailing address
8909 BROADWAY, MERRILLVILLE, IN 46410-7039
(219) 769-0054
(219) 769-1793
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
01039733A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201085710
—
IN
Enumeration date
07/17/2007
Last updated
10/04/2013
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