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SHANEY NIKAURY PENA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1120 W MICHIGAN ST # CL642, INDIANAPOLIS, IN 46202-5209
(317) 278-2650
Mailing address
1120 W MICHIGAN ST # CL642, INDIANAPOLIS, IN 46202-5209
(317) 278-2686

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
01093534A
IN
2084V0102X
Vascular Neurology Physician
01093534A
IN
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
04/16/2020
Last updated
07/18/2025
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