Provider Demographics
NPI:1659838050
Name:GERMANY, SHAKILA
Entity Type:Individual
Prefix:
First Name:SHAKILA
Middle Name:
Last Name:GERMANY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8130 E 37TH PL
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46226-5950
Mailing Address - Country:US
Mailing Address - Phone:317-702-3280
Mailing Address - Fax:
Practice Address - Street 1:8130 E 37TH PL
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46226-5950
Practice Address - Country:US
Practice Address - Phone:317-702-3280
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-02-22
Last Update Date:2019-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
INPENDINGMedicaid