Individual
DR. TAHA Z SHIPCHANDLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11725 ILLINOIS ST STE 275, CARMEL, IN 46032-3009
(317) 948-5071
(317) 948-5144
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
01068324A
IN
207Y00000X
Otolaryngology Physician
57.007689
OH
207Y00000X
Otolaryngology Physician
D68443
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200987260
—
IN
05
—
417355400
—
MD
Enumeration date
03/04/2008
Last updated
11/16/2020
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