MEDICARE: DR. ROBERT G SHELLMAN M.D.

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	207RP1001X	Pulmonary Disease Physician	01037555	IN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	000000349809	OTHER	IN	PROVIDER ANTHEM PIN
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	201764827	OTHER	IN	PROVIDER CORP PIN
4	P00183317	OTHER	IN	PROVIDER RAILROAD PIN

General Provider Information

NPI Number	:	1659339927
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROBERT G SHELLMAN M.D.

Provider Business Mailing Address
First Line	:	2451 INTELLIPLEX DR
Second Line	:
City	:	SHELBYVILLE
State	:	IN
Zip	:	46176-8580
Country	:	US
Telephone Number	:	317-421-1914
Fax Number	:	317-421-1914

Provider Business Practice Location Address
First Line	:	2451 INTELLIPLEX DR
Second Line	:	SUITE 205
City	:	SHELBYVILLE
State	:	IN
Zip	:	46176-8581
Country	:	US
Telephone Number	:	317-421-1914
Fax Number	:	317-398-1853

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

Provider Enumeration Date	:	05/03/2006
Last Update Date	:	08/30/2024

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Directions to “ DR. ROBERT G SHELLMAN M.D.” Practice Location

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