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1386692598

NPI Code Detail

MEDICARE: MARCIA L SHEW MD

MEDICARE: MARCIA L SHEW MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician	01051114A	IN
2	2080A0000X	Pediatric Adolescent Medicine Physician	01051114	IN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1386692598
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARCIA L SHEW MD

Provider Business Mailing Address
First Line	:	250 N SHADELAND AVE
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46219-4959
Country	:	US
Telephone Number	:	317-274-1201
Fax Number	:	317-278-9905

Provider Business Practice Location Address
First Line	:	6002 E 38TH ST
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46226-5614
Country	:	US
Telephone Number	:	317-880-6002
Fax Number	:	317-880-0417

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/04/2006
Last Update Date	:	04/24/2025

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Directions to “ MARCIA L SHEW MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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