Individual
ISAAC CHENG-SHUN WU
Active
Individual
ISAAC CHENG-SHUN WU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
01067062
IN
2085R0202X
Diagnostic Radiology Physician
232086
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000630616
ANTHEM BCBS
IN
05
—
200961430
—
IN
01
—
P00768182
RAILROAD MEDICARE
IN
Enumeration date
05/25/2007
Last updated
02/24/2021
Update your record
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