Individual
DR. PAUL P SHU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
714 N SENATE AVE, INDIANAPOLIS, IN 46202-3763
(317) 963-0166
(317) 963-2711
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
01060027A
IN
2085R0202X
Diagnostic Radiology Physician
Primary
01060027A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200491410
—
IN
01
—
959090180
MEDICARE
IN
Enumeration date
05/19/2006
Last updated
05/03/2023
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