Individual
SHIVA GOLIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
9700 E 146TH ST STE 120, NOBLESVILLE, IN 46060-4333
(317) 621-3675
Mailing address
6626 E 75TH ST, STE 500, INDIANAPOLIS, IN 46250-2805
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
02003550A
IN
207Q00000X
Family Medicine Physician
11013459A
IN
208C00000X
Colon & Rectal Surgery Physician
Primary
02003550A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000730522
BCBS
IN
05
—
201032470
—
IN
01
—
P01424317
RAIL ROAD PTAN
IN
Enumeration date
05/18/2007
Last updated
08/29/2024
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