Most Relevant Information
Provider Data
| NPI Number: | 1003228545 |
| Provider Name: | KEVIN REN-YEH SHIUE M.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: | 11017627A |
Most Important Dates
| Enumeration Date: | 06/02/2014 |
| Last Updated: | 11/16/2020 |
Provider Practice Location
1701 N SENATE AVE # AG117
INDIANAPOLIS
IN
462025306
Practice Location Phone/Fax
| Phone: | 3179441315 |
| Fax: |
Provider Mailing Location
250 N SHADELAND AVE
INDIANAPOLIS
IN
462194959
Provider Mailing Phone/Fax
| Phone: | 3179441315 |
| Fax: | 3179442486 |