Individual
SHEKAR M PUSHPALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
13250 HAZEL DELL PKWY STE 104, CARMEL, IN 46033-8527
(317) 415-6900
Mailing address
13250 HAZEL DELL PKWY STE 104, CARMEL, IN 46033-8527
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01063905A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P01512445
RR MEDICARE
IN
Enumeration date
01/31/2007
Last updated
08/09/2022
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