Individual
ASIF AZIZ SHARFUDDIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
550 UNIVERSITY BLVD, INDIANAPOLIS, IN 46202-5149
(317) 274-7453
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01060801A
IN
207RN0300X
Nephrology Physician
01060801
IN
207RN0300X
Nephrology Physician
Primary
01060801A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200829690
—
IN
Enumeration date
05/22/2006
Last updated
03/08/2025
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