Individual
DR. SAFI SHAHDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
535 BARNHILL DR RM 473, INDIANAPOLIS, IN 46202-5116
(317) 274-5000
Mailing address
250 N SHADELAND AVE, STE 130 PROVIDER ENROLLMENT, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01069802A
IN
207RH0003X
Hematology & Oncology Physician
Primary
01069802A
IN
390200000X
Student in an Organized Health Care Education/Training Program
11013658A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201107060
—
IN
01
—
P01339698
RAILROAD MEDICARE
IN
Enumeration date
06/06/2008
Last updated
03/07/2019
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