Provider Demographics
NPI:1497090179
Name:INDIANA UNIVERSITY SCHOOL OF MEDICINE
Entity Type:Organization
Organization Name:INDIANA UNIVERSITY SCHOOL OF MEDICINE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FELLOW
Authorized Official - Prefix:DR
Authorized Official - First Name:TAKASHI
Authorized Official - Middle Name:
Authorized Official - Last Name:SHINHA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:347-693-2212
Mailing Address - Street 1:600 N. ALABAMA STREET
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46204
Mailing Address - Country:US
Mailing Address - Phone:347-693-2212
Mailing Address - Fax:
Practice Address - Street 1:600 N ALABAMA ST
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46204-1403
Practice Address - Country:US
Practice Address - Phone:347-693-2212
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-12-06
Last Update Date:2012-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital