Healthcare Provider Details

I. General information

NPI: 1457938144
Provider Name (Legal Business Name): TRUNG HUA MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/27/2021
Last Update Date: 06/04/2025
Certification Date: 06/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11700 N MERIDIAN ST
CARMEL IN
46032-4656
US

IV. Provider business mailing address

37595 7 MILE RD STE 340
LIVONIA MI
48152-1003
US

V. Phone/Fax

Practice location:
  • Phone: 317-688-2000
  • Fax:
Mailing address:
  • Phone: 734-793-2470
  • Fax: 734-793-2471

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number01093204A
License Number StateIN
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number01093204A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: