Individual
PAUL Y KO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
720 ESKENAZI AVE, INDIANAPOLIS, IN 46202-5187
(317) 630-7276
(317) 656-4216
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
01082507A
IN
207P00000X
Emergency Medicine Physician
247728
NY
207P00000X
Emergency Medicine Physician
MD425126
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000001292312
ANTHEM PTAN
IN
05
—
0108260
—
NJ
05
—
03012686
—
NY
05
—
101664714
—
PA
05
—
300027718
—
IN
01
—
M120064002
MEDICARE
IN
05
—
M120064002
—
IN
Enumeration date
07/10/2006
Last updated
02/24/2025
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