DR. FAIZUDDIN SHAREEF D.O NPI 1891980462

NPI Information

NPI: 1891980462
Provider Name: DR. FAIZUDDIN SHAREEF, D.O
Classification: Family Medicine - 207Q00000X
Entity Type: Individual
Address:
2640 HAMSTROM RD
PORTAGE, IN
ZIP 46368
Phone: (219) 762-4423
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DR. Faizuddin Shareef, D.O is a family medicine in Portage, IN. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DR. Faizuddin Shareef, D.O NPI is 1891980462. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2640 HAMSTROM RD
PORTAGE, IN
ZIP 46368-832
Phone: (219) 762-4423

The enumeration date for this NPI number is 9/7/2007 and was last updated on 9/29/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207Q00000X	Family Medicine		02003711A	INDIANA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	200990690	MEDICAID	INDIANA
2	P00603112	MEDICARE PIN
3	M400048831	MEDICARE PIN	INDIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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