Provider Demographics
NPI:1154666774
Name:SHAFI MEDICAL GROUP LIMITED
Entity Type:Organization
Organization Name:SHAFI MEDICAL GROUP LIMITED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MUHAMMAD
Authorized Official - Middle Name:S
Authorized Official - Last Name:AKHTAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:773-840-8586
Mailing Address - Street 1:5875 N LINCOLN AVE
Mailing Address - Street 2:STE 117
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60659-4672
Mailing Address - Country:US
Mailing Address - Phone:773-840-8586
Mailing Address - Fax:773-761-2378
Practice Address - Street 1:5875 N LINCOLN AVE
Practice Address - Street 2:STE 117
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60659-4672
Practice Address - Country:US
Practice Address - Phone:773-840-8586
Practice Address - Fax:773-761-2378
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-12-07
Last Update Date:2013-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty