Individual
WEI LIU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2560 N. SHADELAND AVENUE, SUITE A, INDIANAPOLIS, IN 46219-1706
(317) 275-8072
(317) 275-8124
Mailing address
14275 MIDWAY RD, STE 400, ADDISON, TX 75001-3676
(317) 275-8072
(317) 275-8124
Taxonomy
Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
01059450A
IN
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
01059450A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000376921
BCBS
IN
05
—
200813930
—
IN
Enumeration date
12/06/2005
Last updated
04/10/2017
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