Individual
HAIHONG MAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9650 E WASHINGTON ST, STE 120, INDIANAPOLIS, IN 46229-3032
(317) 890-5500
(317) 890-5566
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01066995A
IN
207QS0010X
Sports Medicine (Family Medicine) Physician
01066995A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200947620
—
IN
Enumeration date
05/17/2007
Last updated
12/17/2020
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