Individual
CHARLES MYLAN CHUMAN SR.
Active
Individual
CHARLES MYLAN CHUMAN SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
01035829
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000080236
ANTHEM
IN
01
—
0004048160
AETNA
IN
01
—
0091107960
ILLINOIS BLUE CROSS
IN
Enumeration date
07/12/2006
Last updated
09/30/2010
Update your record
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