Healthcare Provider Details

I. General information

NPI: 1134803125
Provider Name (Legal Business Name): SHIFA BATOOL AKHTER M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SHIFA BATOOL

II. Dates (important events)

Enumeration Date: 06/12/2023
Last Update Date: 07/08/2026
Certification Date: 07/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1120 W MICHIGAN ST
INDIANAPOLIS IN
46202-5209
US

IV. Provider business mailing address

1120 W MICHIGAN ST
INDIANAPOLIS IN
46202-5209
US

V. Phone/Fax

Practice location:
  • Phone: 317-278-0873
  • Fax: 317-274-1437
Mailing address:
  • Phone: 317-278-0873
  • Fax: 317-274-1437

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License Number01100151A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: