Individual
MS. MEGAN ISHIKAWA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6820 PARKDALE PL STE 100, INDIANAPOLIS, IN 46254-4699
(888) 484-3258
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01084101A
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300003364
—
IN
Enumeration date
04/22/2017
Last updated
05/22/2026
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