Individual
PING FU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD., PH.D
Contact information
Practice address
1111 RONALD REAGAN PKWY, AVON, IN 46123-7085
(317) 577-4200
(317) 577-9503
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
006117
GA
207L00000X
Anesthesiology Physician
Primary
01080339A
IN
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
01080339A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000001168726
ANTHEM PROVIDER NUMBER
IN
01
—
264430E10
MEDICARE
—
05
—
300013602
—
IN
01
—
815500262
MEDICARE
IN
Enumeration date
07/31/2009
Last updated
10/15/2022
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