Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Southlake Internal Medicine LLC

Organization Specialist · NPI 1568995785

Southlake Internal Medicine LLC is a Specialist 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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