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Individual

DR. SHAN L CHENG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
8051 SOUTH EMERSON AVE, SUITE 200, INDIANAPOLIS, IN 46237-8632
(317) 865-2955
(317) 865-2944
Mailing address
8051 SOUTH EMERSON AVE, SUITE 200, INDIANAPOLIS, IN 46237-8632
(317) 865-2955
(317) 865-2944

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
01066288A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200952980
IN
Enumeration date
03/20/2007
Last updated
03/04/2020
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