Healthcare Provider Details

I. General information

NPI: 1386090389
Provider Name (Legal Business Name): CHRISTINE EUN HUR MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/09/2016
Last Update Date: 10/07/2025
Certification Date: 10/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10610 N PENNSYLVANIA ST STE 101
CARMEL IN
46280-2000
US

IV. Provider business mailing address

10610 N PENNSYLVANIA ST STE 101
CARMEL IN
46280-2000
US

V. Phone/Fax

Practice location:
  • Phone: 317-575-6565
  • Fax:
Mailing address:
  • Phone: 317-575-6565
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VE0102X
TaxonomyReproductive Endocrinology Physician
License Number01094497A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: