Individual
BRIAN SU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11109 PARKVIEW PLAZA DR, FORT WAYNE, IN 46845-1701
(260) 672-6620
(260) 672-6639
Mailing address
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845-1701
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01099129A
IN
207R00000X
Internal Medicine Physician
317628
NY
207RN0300X
Nephrology Physician
317628
NY
Other
Enumeration date
12/17/2018
Last updated
03/09/2026
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