Individual
SHIV PANIGRAHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
355 W 16TH ST STE 4300, INDIANAPOLIS, IN 46202-2394
(317) 274-8157
Mailing address
4141 SHORE DR, INDIANAPOLIS, IN 46254-2607
(317) 329-2000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
1922702471
IN
208100000X
Physical Medicine & Rehabilitation Physician
Primary
01094216A
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/29/2023
Last updated
07/08/2025
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