Fang, David J

Fang, David J is an individual health care provider with primary practice located at 5255 E Stop 11 Rd Suite 400, Indianapolis IN 46237-6341. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Fang, David J can be contacted via phone (317) 844-7059.

Contact Information

Primary practice address
5255 E Stop 11 Rd Suite 400 Indianapolis IN 46237-6341
Phone: (317) 844-7059
Fax: (317) 819-0044
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 01039524A Indiana

Profile Details

NPI number 1174670657
LBN Legal business name Fang, David J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 5th, 2007
Last updated Jun 21st, 2024 - about 5 months 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 1174670657 NPPES
Indiana Other 040008970 MEDICARE RAILROAD
Indiana MEDICAID 100338710 MEDICARE RAILROAD

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