Individual
SUDHA S SHANKAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
975 W WALNUT ST, IB 424, INDIANAPOLIS, IN 46202-5181
(317) 274-3960
Mailing address
550 N MERIDIAN ST, STE 114, INDIANAPOLIS, IN 46204-1207
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
01048109
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200422840
—
IN
Enumeration date
04/17/2006
Last updated
07/08/2007
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