Individual
YAR LUAN YEAP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1120 SOUTH DR, FESLER HALL ROOM 204, INDIANAPOLIS, IN 46202-5135
(317) 274-0275
(317) 274-0256
Mailing address
250 N SHADELAND AVE STE 200, INDIANAPOLIS, IN 46219-4959
(317) 962-3834
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
01064744A
IN
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
01064744
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000509419-ICU
ANTHEM BCBS
IN
01
—
000000574996-IU,LLC
ANTHEM BCBS
IN
05
—
200911700
—
IN
Enumeration date
05/25/2008
Last updated
11/30/2020
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