Individual
DR. SHEETHU SADASIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1115 N RONALD REAGAN PKWY, STE 206, AVON, IN 46123-6911
(317) 217-2888
(317) 217-2999
Mailing address
250 N SHADELAND AVE, STE 130 - PROVIDER ENROLLMENT, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01071884A
IN
208M00000X
Hospitalist Physician
MD170350
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1891981304
VA MEDICAID
VA
05
—
201121360
—
IN
Enumeration date
09/18/2007
Last updated
06/11/2025
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