Provider Demographics
NPI:1093878647
Name:SHER, ZAINAB (MD)
Entity Type:Individual
Prefix:DR
First Name:ZAINAB
Middle Name:
Last Name:SHER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:250 N SHADELAND AVE
Mailing Address - Street 2:STE 130 PROVIDER ENROLLMENT
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46219-4959
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:6820 PARKDALE PL
Practice Address - Street 2:SUITE 100
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46254-6601
Practice Address - Country:US
Practice Address - Phone:317-297-7773
Practice Address - Fax:317-297-3619
Is Sole Proprietor?:No
Enumeration Date:2006-12-18
Last Update Date:2021-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036109033207R00000X
IN01069159A207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN000000725414OtherANTHEM
IL036109033OtherIL LICENSE #
IL036109033Medicaid
IN201021350Medicaid
IN201021350Medicaid
INM400064937Medicare PIN
INP01105468Medicare PIN
IN000000725414OtherANTHEM
INM400047728Medicare PIN