MEDICARE: UNKOWN MOHAMMED SHAIBAZ

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	291U00000X	Clinical Medical Laboratory		IN

General Provider Information

NPI Number	:	1306792080
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	UNKOWN MOHAMMED SHAIBAZ

Provider Business Mailing Address
First Line	:	513 RIDGE RD STE 3
Second Line	:
City	:	MUNSTER
State	:	IN
Zip	:	46321-1648
Country	:	US
Telephone Number	:	872-375-8142
Fax Number	:

Provider Business Practice Location Address
First Line	:	513 RIDGE RD STE 3
Second Line	:
City	:	MUNSTER
State	:	IN
Zip	:	46321-1648
Country	:	US
Telephone Number	:	872-375-8142
Fax Number	:

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

Provider Enumeration Date	:	03/06/2026
Last Update Date	:	03/10/2026

Similar Medicare Providers

1225984206 — CROSSROADSLABS LLC
Practice Location Address:

513 RIDGE RD STE 3
MUNSTER, IN
46321-1648

Practice Phone: 872-375-8142
Practice Fax:

1144267444 — OH JEONG LEE M.D.
Practice Location Address:

513 RIDGE RD STE 3
MUNSTER, IN
46321-1648

Practice Phone: 219-513-6388
Practice Fax: 219-513-6389

1174045843 — PILLS 4 LESS LLC
Practice Location Address:

513 RIDGE RD STE 2
MUNSTER, IN
46321-1648

Practice Phone: 844-745-5748
Practice Fax:

1992229249 — PILLS 4 LESS LLC
Practice Location Address:

513 RIDGE RD STE 2 , 513 RIDGE RD SUITE 2
MUNSTER, IN
46321-1648

Practice Phone: 844-745-5748
Practice Fax: 844-745-5748

1679429823 — NADIA INOCENCIO
Practice Location Address:

901 MACARTHUR BLVD
MUNSTER, IN
46321-2901

Practice Phone: 219-836-1600
Practice Fax:

1306802368 — DR. JAMES LEONARD DO
Practice Location Address:

8135 CALUMET AVE
MUNSTER, IN
46321-1701

Practice Phone: 219-513-2000
Practice Fax:

Directions to “ UNKOWN MOHAMMED SHAIBAZ ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.