Individual
LUKE SHADIOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO-GRADUATE 05/2019
Contact information
Practice address
8240 NAAB RD STE 100, INDIANAPOLIS, IN 46260-1985
(317) 207-7411
Mailing address
11541 E WINCHESTER LN, ELLICOTT CITY, MD 21042-2040
(443) 996-4400
(317) 947-0839
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
02007335A
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/21/2019
Last updated
07/09/2025
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