Individual
DR. MOHAMMAD SHAKIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
9104 COLUMBIA AVE, MUNSTER, IN 46321-2907
(198) 364-4732
(219) 703-6566
Mailing address
8558 BROADWAY, MERRILLVILLE, IN 46410-7032
(219) 392-7084
(219) 703-6854
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
02004105A
IN
207RC0000X
Cardiovascular Disease Physician
036.130352
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300062136
—
IN
Enumeration date
04/16/2009
Last updated
08/30/2022
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