Individual
LAYLA SHANAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8050 TOWNSHIP LINE RD, INDIANAPOLIS, IN 46260-2478
(317) 415-8500
Mailing address
8050 TOWNSHIP LINE RD, INDIANAPOLIS, IN 46260-2478
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01088217A
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/29/2012
Last updated
08/22/2022
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