Individual
MICHAEL SHA
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Contact information
Practice address
1001 W 10TH ST, INDIANAPOLIS, IN 46202-2859
(317) 808-0573
Mailing address
PO BOX 78158, INDIANAPOLIS, IN 46278-0158
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01049252A
IA
Other
Enumeration date
05/08/2006
Last updated
07/08/2007
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