Individual
SHELBY J BAKER
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
1801 N SENATE BLVD, SUITE 355, INDIANAPOLIS, IN 46202-1228
(317) 924-8420
(317) 924-6785
Mailing address
5255 E STOP 11 RD, SUITE 440, INDIANAPOLIS, IN 46237-6340
(317) 882-2857
(317) 882-2873
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
28072072
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000323346
ANTHEM NUMBER
IN
Enumeration date
07/08/2005
Last updated
07/09/2007
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