Individual
SHOBHA SHAHANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1801 N SENATE BLVD, STE E-140, INDIANAPOLIS, IN 46202-5149
(317) 962-2894
(317) 963-5285
Mailing address
250 N SHADELAND AVE STE 200, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01075756A
IN
207R00000X
Internal Medicine Physician
125061911
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201314070
—
IN
Enumeration date
09/28/2012
Last updated
10/02/2020
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