Southlake Internal Medicine LLC
NPI #1568995785 in Crown Point, Indiana
Provider Information
- NPI Number
- 1568995785
- Entity Type
- Organization
- Organization Name
- Southlake Internal Medicine LLC
- Primary Specialty
- Specialist
- Enumeration Date
- Apr 5, 2017
- Last Updated
- Apr 5, 2017
Practice Location
- Address
- 928 MARY ELLEN DR
- City
- Crown Point
- State
- Indiana
- ZIP Code
- 46307-8998
- Phone
- (219) 252-0309
Authorized Official
- Name
- SHOAIB H RASHEED, MD
- Title
- OWNER
- Phone
- (219) 252-0309
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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