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Individual

SHOAIB SHAFIQUE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3900 ST FRANCIS WAY STE 201, LAFAYETTE, IN 47905-4925
(765) 446-7981
Mailing address
3900 ST FRANCIS WAY STE 201, LAFAYETTE, IN 47905-4925

Taxonomy

Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
01054771A
IN
2086S0129X
Vascular Surgery Physician
26123
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200392330A
IN
Enumeration date
04/21/2006
Last updated
05/04/2023
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