Individual
ANDREW FREDERICK SHAAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
8433 HARCOURT RD STE 100, INDIANAPOLIS, IN 46260-2193
(317) 583-7600
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10001417A
IN
363AS0400X
Surgical Physician Assistant
10001417A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500602886
—
OR
05
—
8434946
—
WA
Enumeration date
08/24/2005
Last updated
08/10/2023
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