Paek, Michelle

Paek, Michelle is an individual health care provider with primary practice located at 1633 N Capitol Ave Ste 301 , Indianapolis IN 46202-1476. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine. Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine is her primary health care specialty. Paek, Michelle can be contacted via phone (317) 963-5996.

Contact Information

Primary practice address
1633 N Capitol Ave Ste 301 Indianapolis IN 46202-1476
Phone: (317) 963-5996
Fax: (317) 963-5446
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 01090255A Indiana
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X TL.0007541 Colorado
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 207RH0002X 01090255A Indiana

Profile Details

NPI number 1770045486
LBN Legal business name Paek, Michelle
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 2nd, 2019
Last updated Apr 2nd, 2024 - about 8 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 1770045486 NPPES
Indiana MEDICAID 300081235
Indiana Other 1103116543
Indiana Other 267030321

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