Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Southlake Internal Medicine LLC

Organization Specialist · NPI 1568995785

Southlake Internal Medicine LLC provides Specialist services in Crown Point, Indiana. Licensed in Indiana. Registered with an NPI since 2017.

Licensed in
IN
In the registry since
2017
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

928 Mary Ellen Dr
Crown Point, IN 46307-8998
Phone: (219) 252-0309
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 01066300 (IN)

Record details

NPI number1568995785
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shoaib Rasheed — Owner · (219) 252-0309
NPI enumeratedApril 5, 2017
Last updated in NPPESApril 5, 2017
Mailing address928 Mary Ellen Dr, Crown Point, IN 46307-8998

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