Healthcare Provider Details

I. General information

NPI: 1982631875
Provider Name (Legal Business Name): ASRAR A SHEIKH M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/27/2006
Last Update Date: 10/08/2020
Certification Date: 10/08/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1217 US HIGHWAY 41
SCHERERVILLE IN
46375-1311
US

IV. Provider business mailing address

1217 US HIGHWAY 41
SCHERERVILLE IN
46375-1311
US

V. Phone/Fax

Practice location:
  • Phone: 219-440-7351
  • Fax: 219-227-8920
Mailing address:
  • Phone: 219-440-7351
  • Fax: 219-227-8920

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number01060322A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: