Healthcare Provider Details

I. General information

NPI: 1891939567
Provider Name (Legal Business Name): SHARON ELIZABETH ENGEL ROBERTSON MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SHARON ELIZABETH ENGEL ROBERTSON MD

II. Dates (important events)

Enumeration Date: 04/26/2009
Last Update Date: 05/12/2025
Certification Date: 05/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1701 N SENATE BLVD
INDIANAPOLIS IN
46202-1239
US

IV. Provider business mailing address

250 N SHADELAND AVE
INDIANAPOLIS IN
46219-4959
US

V. Phone/Fax

Practice location:
  • Phone: 888-484-3258
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207VX0000X
TaxonomyObstetrics Physician
License Number01080357A
License Number StateIN
# 2
Primary TaxonomyN
Taxonomy Code207VX0201X
TaxonomyGynecologic Oncology Physician
License NumberME124078
License Number StateFL
# 3
Primary TaxonomyY
Taxonomy Code207VX0201X
TaxonomyGynecologic Oncology Physician
License Number01080357A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: