Individual
SHUNHUA GUO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
350 W 11TH ST, INDIANAPOLIS, IN 46202-4108
(317) 491-6000
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
01078945A
IN
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
2011017426
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
068010385
MEDICARE
IN
05
—
300003642
—
IN
Enumeration date
07/07/2011
Last updated
02/22/2023
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