Individual
PI CHUN CHENG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
705 RILEY HOSPITAL DR, INDIANAPOLIS, IN 46202-5109
(317) 948-7208
(317) 944-7247
Mailing address
PO BOX 719094, CHICAGO, IL 60677-9318
(317) 777-6435
(317) 777-6644
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01086422A
IN
208000000X
Pediatrics Physician
01086422A
IN
2080P0214X
Pediatric Pulmonology Physician
Primary
01086422A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000001611248
ANTHEM PTAN
IN
05
—
300053482
—
IN
Enumeration date
05/07/2012
Last updated
02/13/2026
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