Individual
SHARON P ANDREOLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
705 RILEY HOSPITAL DR, RR 230, INDIANAPOLIS, IN 46202-5109
(317) 274-2563
(317) 278-3599
Mailing address
PO BOX 1026, INDIANAPOLIS, IN 46206-1026
(317) 274-1201
(317) 278-9905
Taxonomy
Speciality
Code
Description
License number
State
2080P0210X
Pediatric Nephrology Physician
Primary
01028103
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000375508
ANTHEM-DEAC-350593390
—
05
—
100236800
—
IN
01
—
350593390-042
TRICARE-DEAC-350593390
—
05
—
64879182
—
KY
Enumeration date
10/02/2006
Last updated
09/26/2014
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