Hassan Ismail Alsheik, M.D.
Individual provider Active NPI Urology Physician · Munster, IN
NPI 1497790620 · NPPES record last updated Dec 1, 2016
Key facts
- NPI
- 1497790620
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Urology Physician 208800000X
- License
- 01036410B (IN)
- Practice address
- 929 Ridge Rd
Ste 1
Munster, IN 46321-1751 - Phone
- (219) 836-6241
- Fax
- (219) 836-2433
- NPI assigned
- Jun 19, 2006
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01036410B | IN | MD | Urology Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | 01036410B | IN | Yes |
Addresses
Primary practice location
929 Ridge Rd
Ste 1
Munster, IN 46321-1751
Mailing address
PO Box 3060
Munster, IN 46321-0060
Phone (219) 836-6241
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100215070A | Medicaid | IN |
Other providers in Munster, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 1, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.