Individual
DR. SHOTARO SANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O
Contact information
Practice address
2451 INTELLIPLEX DR STE 280, SHELBYVILLE, IN 46176-8580
(317) 392-0222
(317) 392-0722
Mailing address
2451 INTELLIPLEX DR, SHELBYVILLE, IN 46176-8580
(317) 392-0222
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
02005352A
IN
Other
Enumeration date
10/21/2014
Last updated
02/17/2025
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