Individual
ALHANG SANYO KONYAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8414 NAAB RD, INDIANAPOLIS, IN 46260-1972
(317) 338-7510
Mailing address
8414 NAAB RD, INDIANAPOLIS, IN 46260-1972
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01092581A
IN
207Q00000X
Family Medicine Physician
036142978
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036142978
IL PHYSICIAN LICENSE
IL
Enumeration date
07/01/2009
Last updated
06/24/2024
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