Individual
DR. ANTHONY SHANKS II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7120 CLEARVISTA DR, STE 5900, INDIANAPOLIS, IN 46256-1621
(317) 621-9210
Mailing address
6626 E 75TH ST, STE 500, INDIANAPOLIS, IN 46250-2805
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
01075942A
IN
207VM0101X
Maternal & Fetal Medicine Physician
01075942A
IN
207VM0101X
Maternal & Fetal Medicine Physician
2007018034
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201321820
—
IN
05
—
321400217
—
MO
01
—
P01678744
MEDICARE RR
IN
Enumeration date
03/21/2007
Last updated
03/08/2025
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