Individual
MARCIA L SHEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6002 E 38TH ST, INDIANAPOLIS, IN 46226-5614
(317) 880-6002
(317) 880-0417
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
(317) 274-1201
(317) 278-9905
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
01051114A
IN
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
01051114
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200229840
—
IN
05
—
64003296
—
KY
Enumeration date
05/04/2006
Last updated
04/24/2025
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