Individual
ANGELA TING-YU KUO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
404 E WASHINGTON STE, STE A, INDIANAPOLIS, IN 46204-2609
(317) 963-2610
(317) 963-2615
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0000059238
TN
207R00000X
Internal Medicine Physician
Primary
01090233A
IN
208000000X
Pediatrics Physician
0000059238
TN
208000000X
Pediatrics Physician
01090233A
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
068010901
MEDICARE PTAN
IN
Enumeration date
04/14/2015
Last updated
09/29/2023
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