Individual
CHO MAR AUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
256 E PETTIT AVE, FORT WAYNE, IN 46806-3005
(260) 234-5400
(260) 234-5781
Mailing address
1040 WISHARD BLVD, INDIANAPOLIS, IN 46202-2872
(317) 963-3030
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01090150A
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1103692793
ANTHEM PTAN
IN
05
—
300039178
—
IN
Enumeration date
04/17/2020
Last updated
01/09/2025
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