Individual
ISHANA PREMA SHETTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
550 UNIVERSITY BLVD STE 2440, INDIANAPOLIS, IN 46202-5149
(317) 948-8823
Mailing address
550 UNIVERSITY BLVD STE 2440, INDIANAPOLIS, IN 46202-5149
(317) 274-2021
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
01097578A
IN
207V00000X
Obstetrics & Gynecology Physician
Primary
2023006694
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200121319
—
MO
Enumeration date
04/16/2019
Last updated
01/15/2026
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