Individual
SHIRA YAHALOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
720 ESKENAZI AVE, INDIANAPOLIS, IN 46202-5187
(317) 963-6671
(317) 963-5492
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
002710
NY
207P00000X
Emergency Medicine Physician
Primary
01068445A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201001520
—
IN
Enumeration date
12/20/2006
Last updated
03/16/2025
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