Individual
ISSA SHAMMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9650 E WASHINGTON ST, STE 100, INDIANAPOLIS, IN 46229-3032
(317) 890-5500
(317) 890-5566
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01033318
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100330370
—
IN
Enumeration date
06/09/2006
Last updated
01/11/2021
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