MEDICARE: SHAHABUL ARFEEN M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RN0300X	Nephrology Physician	01043606A	IN
2	207R00000X	Internal Medicine Physician	01043606	IN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1538164140
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHAHABUL ARFEEN M.D.

Provider Business Mailing Address
First Line	:	801 MACARTHUR BLVD
Second Line	:	SUITE 400A
City	:	MUNSTER
State	:	IN
Zip	:	46321-2915
Country	:	US
Telephone Number	:	219-931-5227
Fax Number	:	219-932-8455

Provider Business Practice Location Address
First Line	:	9836 W 400 N
Second Line	:	STE B
City	:	MICHIGAN CITY
State	:	IN
Zip	:	46360-2910
Country	:	US
Telephone Number	:	219-878-9531
Fax Number	:	219-878-0261

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/20/2005
Last Update Date	:	02/14/2014

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