Individual
MR. TIONG OEN POUW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2451 INTELLIPLEX DR, STE 280, SHELBYVILLE, IN 46176-8580
(317) 392-0222
(317) 392-0722
Mailing address
2451 INTELLIPLEX DR, STE 280, SHELBYVILLE, IN 46176-8580
(317) 392-0222
(317) 392-0722
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
01039967A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100224800
—
IN
Enumeration date
07/05/2006
Last updated
10/13/2021
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