Individual
KAM-YUEN WILLIAM LOH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1300 N MAIN ST, RUSHVILLE, IN 46173-1116
(765) 932-4111
(765) 932-7505
Mailing address
1300 N MAIN ST, RUSHVILLE, IN 46173-1116
(765) 932-4111
(765) 932-7505
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
IN01043688
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000094246
ANTHEM
IN
01
—
IN01043688
IN LIC #
IN
Enumeration date
03/28/2006
Last updated
07/08/2007
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