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SOUTHLAKE INTERNAL MEDICINE LLC
NPI 1568995785
Specialist in Crown Point, IN

Active since April 05, 2017
928 MARY ELLEN DR, CROWN POINT, IN 46307(219) 252-0309 Get Directions Write a Review

NPPES record last updated: April 5, 2017. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Southlake Internal Medicine Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTHLAKE INTERNAL MEDICINE LLC (NPI 1568995785) is a healthcare organization registered as a specialist in Crown Point, Indiana and active in the NPI registry since April 2017. The organization lists Shoaib H Rasheed, Owner, as its authorized official.

NPPES Registry Identity

NPI1568995785
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameSOUTHLAKE INTERNAL MEDICINE LLC
Location Address928 MARY ELLEN DRCrown Point, IN 46307-8998
Mailing Address928 Mary Ellen DrCrown Point, IN 46307-8998 · (219) 252-0309
Phone(219) 252-0309
Organization SubpartNo
Authorized OfficialShoaib H RasheedOwner · (219) 252-0309
Enumeration DateApril 5, 2017
✔ NPI 1568995785 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in IN · 01066300
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
928 MARY ELLEN DR, Crown Point, IN 46307
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Southlake Internal Medicine LLC's NPI number?

The NPI number for Southlake Internal Medicine LLC is 1568995785. It was assigned to this organization in the NPPES registry on April 5, 2017.

Where is Southlake Internal Medicine LLC located?

Southlake Internal Medicine LLC is located at 928 Mary Ellen Dr, Crown Point, IN 46307. The listed phone number is (219) 252-0309.

What is Southlake Internal Medicine LLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

What insurance does Southlake Internal Medicine LLC accept?

Health plans from CareSource list Southlake Internal Medicine LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Southlake Internal Medicine LLC was last updated on April 5, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.