Mrs Azra Shibli Sheriff, MD | |
9128 Columbia Ave, Ste A, Munster, IN 46321-2600 | |
(219) 836-2730 | |
(219) 836-0244 |
Full Name | Mrs Azra Shibli Sheriff |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 9128 Columbia Ave, Munster, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1053321141 | NPI | - | NPPES |
100212430A | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 01032560 (Indiana) | Primary |
207Q00000X | Family Medicine | 01032560 (Indiana) | Secondary |
Entity Name | Childrens & Family Medicine Clinic Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265978043 PECOS PAC ID: 3870876550 Enrollment ID: O20170202001547 |
Mailing Address | Practice Location Address |
---|---|
Mrs Azra Shibli Sheriff, MD 9128 Columbia Ave, Ste A, Munster, IN 46321-2600 Ph: (219) 836-2730 | Mrs Azra Shibli Sheriff, MD 9128 Columbia Ave, Ste A, Munster, IN 46321-2600 Ph: (219) 836-2730 |
Linda T Chan, M.D Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 800 Macarthur Blvd, Ste 21, Munster, IN 46321 Phone: 219-836-1163 Fax: 219-836-0588 | |
Dr. Eric Heinert, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 9126 Columbia Ave, Munster, IN 46321 Phone: 219-836-1600 | |
Dr. Erica Lynne Yamout, D.O. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1946 45th Ave, Munster, IN 46321 Phone: 219-924-7794 | |
Dr. Robert H. Wadle, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 7905 Calumet Ave, Hammond Clinic Llc, Munster, IN 46321 Phone: 219-836-7214 Fax: 219-934-9816 | |
Mely Tan Tan, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 8242 Calumet Ave, Munster, IN 46321 Phone: 219-836-5738 Fax: 219-836-5782 | |
Wichest Boonyapredee, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 901 Macarthur Blvd, Neonatology Department, Munster, IN 46321 Phone: 219-836-2022 |