MEDICARE: DR. SHELAGH ANNE FRASER 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	207R00000X	Internal Medicine Physician	01054547A	IN

General Provider Information

NPI Number	:	1003934605
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SHELAGH ANNE FRASER MD

Provider Business Mailing Address
First Line	:	893 S DELAWARE ST
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46225-1785
Country	:	US
Telephone Number	:	317-277-7100
Fax Number	:	317-810-2098

Provider Business Practice Location Address
First Line	:	893 S DELAWARE ST
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46225-1782
Country	:	US
Telephone Number	:	317-277-7100
Fax Number	:	317-810-2098

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

Provider Enumeration Date	:	03/26/2007
Last Update Date	:	12/11/2025

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