Individual
SHAOHUI LIU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1160 W MICHIGAN ST, INDIANAPOLIS, IN 46202-5209
(317) 944-2020
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
(317) 962-4792
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
01076822A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000001029604
ANTHEM
IN
05
—
201364090
—
IN
Enumeration date
06/20/2011
Last updated
12/02/2020
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