Individual
DR. WILLIAM L SHIRRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8240 NAAB RD, SUITE #200, INDIANAPOLIS, IN 46260-1986
(317) 876-2330
(317) 876-2320
Mailing address
679 E COUNTY LINE RD, GREENWOOD, IN 46143-1049
(317) 807-1262
(317) 859-4268
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
01034533A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000351011
ANTHEM PIN NUMBER
IN
01
—
100194370
MEDICAID GROUP NUMBER
IN
05
—
100339550
—
IN
01
—
1487680518
GROUP NPI
IN
01
—
200288740
MEDICAID GROUP NUMBER
IN
01
—
P00200150
MEDICARE RAILROAD
IN
Enumeration date
07/28/2006
Last updated
03/17/2021
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