Individual
DR. SHANNON L THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
705 RILEY HOSPITAL DR, RI 3038C, INDIANAPOLIS, IN 46202-5109
(317) 274-2617
(317) 274-2587
Mailing address
PO BOX 719094, CHICAGO, IL 60677-9318
(317) 777-6435
(317) 777-6644
Taxonomy
Speciality
Code
Description
License number
State
2080C0008X
Child Abuse Pediatrics Physician
Primary
01056261
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200383000
—
IN
Enumeration date
12/05/2005
Last updated
02/07/2026
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