Individual
CHEUK FAN SHUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
535 BARNHILL DR, SUITE 150, INDIANAPOLIS, IN 46202-5116
(317) 514-5681
Mailing address
559 RANSOM ST, INDIANAPOLIS, IN 46202-2244
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
11019086A
IN
Other
Enumeration date
07/12/2016
Last updated
08/01/2016
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