| Organization Name: | HIGHLAND CLINIC OF NORTHWEST INDIANA INC |
| NPI Number: | 1497954390 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | NAZEERULLA SHAIK (PHYSICIAN) |
| Mailing Address: | 2834 Highway Ave Highland |
| State: | IN US |
| Postal Code: | 463221629 |
| Phone Number: | 2198380066 |
| Fax Number: | |
| NPI Enumeration Date: | 07/12/2007 |
| NPI Last Update Date: | 10/27/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 010226043 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IN |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |