Provider Demographics
NPI:1538140389
Name:WU, LIANG YEH FRANK (MD)
Entity Type:Individual
Prefix:
First Name:LIANG YEH
Middle Name:FRANK
Last Name:WU
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:FRANK
Other - Middle Name:
Other - Last Name:WU
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:8402 HARCOURT RD
Mailing Address - Street 2:#606
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46260-2074
Mailing Address - Country:US
Mailing Address - Phone:317-872-4214
Mailing Address - Fax:317-872-6388
Practice Address - Street 1:8402 HARCOURT RD
Practice Address - Street 2:#606
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46260-2074
Practice Address - Country:US
Practice Address - Phone:317-872-4214
Practice Address - Fax:317-872-6388
Is Sole Proprietor?:No
Enumeration Date:2005-11-09
Last Update Date:2010-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01026580A207KA0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207KA0200XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyAllergy
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN100058050AMedicaid
C24265Medicare UPIN
266270AMedicare ID - Type Unspecified