Individual
DR. DAVID J FANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5255 E STOP 11 RD STE 400, INDIANAPOLIS, IN 46237-6341
(317) 528-6640
(317) 528-6650
Mailing address
PO BOX 781076, DETROIT, MI 48278-1008
(317) 528-8494
(317) 865-1479
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
01039524A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
040008970
MEDICARE RAILROAD
IN
05
—
100338710
—
IN
Enumeration date
01/05/2007
Last updated
04/03/2026
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