Search › Indiana › 183500000X
Man Kung James Sham
NPI 1215525605 · on the registry since 2021 · sole proprietor
Practice
- Address
- 5550 E Fall Creek Parkway North Dr
Indianapolis, IN 46226 - Phone
- (317) 614-4051
- Fax
- (317) 614-4052
- Organisation at this address
- Wal-Mart Stores East Lp
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 183500000X
183500000X
- Also registered as
- 183500000X
183500000X - Licence states on file
- KY, IL, IN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-01-02
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana