Individual
EMMELINE HONG MAGNO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
701 E COUNTY LINE RD STE 101, GREENWOOD, IN 46143-1070
(317) 885-2860
Mailing address
701 E COUNTY LINE RD STE 101, GREENWOOD, IN 46143-1070
(317) 885-2860
(317) 885-3799
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01086363A
IN
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
01086363A
IN
207RP1001X
Pulmonary Disease Physician
Primary
01086363A
IN
207RS0012X
Sleep Medicine (Internal Medicine) Physician
01086363A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300003776
—
IN
Enumeration date
06/16/2014
Last updated
05/09/2023
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