Individual
RESHMA SHAH MCDONOUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
3902 E 82ND ST, INDIANAPOLIS, IN 46240-2467
(317) 595-8855
Mailing address
3902 E 82ND ST, INDIANAPOLIS, IN 46240-2467
(317) 595-8855
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18004204B
IN
Other
Enumeration date
09/12/2007
Last updated
02/04/2020
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