Provider Demographics
NPI:1124562681
Name:TRANSITIONAL HOSPITALIST CARE, LLC
Entity Type:Organization
Organization Name:TRANSITIONAL HOSPITALIST CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:OBAID
Authorized Official - Middle Name:
Authorized Official - Last Name:SHAFIQ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:630-660-1442
Mailing Address - Street 1:709 PLAZA DR STE 2-252
Mailing Address - Street 2:
Mailing Address - City:CHESTERTON
Mailing Address - State:IN
Mailing Address - Zip Code:46304-1572
Mailing Address - Country:US
Mailing Address - Phone:630-660-1442
Mailing Address - Fax:
Practice Address - Street 1:709 PLAZA DR STE 2-252
Practice Address - Street 2:
Practice Address - City:CHESTERTON
Practice Address - State:IN
Practice Address - Zip Code:46304-1572
Practice Address - Country:US
Practice Address - Phone:630-660-1442
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-12-16
Last Update Date:2016-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01070252A207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty