Individual
DR. DAVID CHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MPH
Contact information
Practice address
1500 N RITTER AVE, INDIANAPOLIS, IN 46219
(317) 355-2320
Mailing address
6626 E 75TH ST STE 500, INDIANAPOLIS, IN 46250-2890
(317) 621-7588
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
01080521A
IN
208000000X
Pediatrics Physician
149756
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300016088
—
IN
01
—
P02198397
MEDICARE RR
IN
Enumeration date
04/03/2015
Last updated
03/31/2021
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