Provider Demographics
NPI:1740442227
Name:CHU, MICHAEL W (MD)
Entity type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:W
Last Name:CHU
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Gender:M
Credentials:MD
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Mailing Address - Street 1:545 BARNHILL DR
Mailing Address - Street 2:SUITE 232
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46202-5112
Mailing Address - Country:US
Mailing Address - Phone:317-274-3636
Mailing Address - Fax:317-278-8746
Practice Address - Street 1:545 BARNHILL DR
Practice Address - Street 2:SUITE 232
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46202-5112
Practice Address - Country:US
Practice Address - Phone:317-274-3636
Practice Address - Fax:317-278-8746
Is Sole Proprietor?:No
Enumeration Date:2008-06-26
Last Update Date:2021-12-01
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Provider Licenses
StateLicense IDTaxonomies
IN01075689A207Y00000X, 2086S0122X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive Surgery
No207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology