Individual
DR. SHASHANK DAVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
355 W 16TH ST, SUITE 4300, INDIANAPOLIS, IN 46202-2207
(317) 963-7077
(317) 963-7068
Mailing address
250 N SHADELAND AVE, STE 200, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
02002932A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200524630
—
IN
Enumeration date
04/14/2006
Last updated
02/03/2021
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