Individual
DR. MICHAEL SAMUEL SHRIFT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
697 PRO MED LN, CARMEL, IN 46032-5323
(317) 574-1254
(317) 674-0060
Mailing address
303 CONGRESSIONAL BLVD, CARMEL, IN 46032-5631
(612) 305-8247
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
01074131A
IN
2084P0800X
Psychiatry Physician
31036
CO
2084P0800X
Psychiatry Physician
51443
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000884693
ANTHEM HIP/ANTHEM MEDICAID
IN
01
—
000000884694
ANTHEM
IN
01
—
000000884696
ANTHEM
IN
05
—
201235550
—
IN
Enumeration date
11/26/2006
Last updated
08/23/2024
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