Individual
DR. WILLIAM DUANE SHIDAL JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1000 NO. 16TH ST., NEW CASTLE, IN 47362-4319
(765) 521-1135
(765) 521-1331
Mailing address
PO BOX 445, NEW CASTLE, IN 47362-0445
(765) 521-1135
(765) 521-1331
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
01028006
IN
2085R0202X
Diagnostic Radiology Physician
01028006A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000083926
ANTHEM
IN
05
—
100383770
—
IN
01
—
300073546
RAILROAD MEDICARE
—
Enumeration date
03/30/2007
Last updated
05/10/2026
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