Chua, Gonzalo T

Chua, Gonzalo T is an individual health care provider with primary practice located at 1701 N Senate Blvd Room 1204A, Indianapolis IN 46202-1239. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Nuclear Radiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Nuclear Radiology is his primary health care specialty. Chua, Gonzalo T can be contacted via phone (317) 962-6793.

Contact Information

Primary practice address
1701 N Senate Blvd Room 1204A Indianapolis IN 46202-1239
Phone: (317) 962-6793
Fax: (317) 962-8281
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nuclear Radiology 2085N0904X 01021628 Indiana
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 01021628 Indiana

Profile Details

NPI number 1699718098
LBN Legal business name Chua, Gonzalo T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2006
Last updated Feb 25th, 2010 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699718098 NPPES
Indiana Other 000000556651 ANTHEM BCBS
Indiana MEDICAID 100348850 ANTHEM BCBS
Indiana Other P00742701 ANTHEM BCBS
Indiana Other P00275181 ANTHEM BCBS

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