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Unkown Mohammed Shaibaz

Physician β€’ Munster, IN

Deactivated NPI 1306792080 Deactivated in NPPES
Practice location in NPPES

513 Ridge Rd Ste 3
Munster, IN 463211648

Phone: 8723758142

Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

This NPI Is Deactivated in NPPES

NPPES lists this NPI as deactivated as of March 26, 2026; the reason is not published. The records below are historical. They do not show whether Unkown Mohammed Shaibaz currently practices or holds a license; check the state medical board for current license status.

NPI Enumeration Date March 06, 2026
NPI Deactivation Date March 26, 2026
NPI Active Period 2026 – 2026

Practice Location & Contact Primary Location

Practice Address

513 Ridge Rd Ste 3

Munster, IN 463211648

Telephone 8723758142
Organization at the Same NPPES Address or Phone
Crossroadlabs Llc Facility NPI 1508775438

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2026

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Compared with the same specialty in Munster and Indiana

Comparisons are not shown because NPPES lists this NPI as deactivated.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Clinical Medical Laboratory Primary Specialty

NUCC Taxonomy Code: 291U00000X

(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Indiana Professional Licensing Agency.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

1 listed
Dr. Oh Lee , MD

Internal Medicine

NPI 1144267444

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
⚠️
NPI Profile Deactivated March 27, 2026

NPPES lists this NPI as deactivated as of March 27, 2026; the reason is not published.

⚠️
NPI Profile Deactivated March 26, 2026

NPPES lists this NPI as deactivated as of March 26, 2026; the reason is not published.

βœ…
NPI Profile Active March 06, 2026

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) March 06, 2026

Registered at 513 RIDGE RD STE 3, MUNSTER, IN 463211648 (Tel: 8723758142)

πŸ“
Business Mailing Address (Initial Record) March 06, 2026

Registered at 513 RIDGE RD STE 3, MUNSTER, IN 463211648 (Tel: 8723758142)

πŸ‘€
Provider Name / Credentials (Initial Record) March 06, 2026

Recorded as UNKOWN MOHAMMED SHAIBAZ

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 06, 2026

Clinical Medical Laboratory

🟒
Initial NPI Registration & Enumeration March 06, 2026

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1306792080
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 06, 2026
Last Update: March 06, 2026
Deactivation Date: March 26, 2026

Mailing Address

513 Ridge Rd Ste 3

Munster, IN 463211648

Phone: 8723758142

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.