Individual
DR. ANDREW DOUGLASS YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
550 UNIVERSITY BLVD, INDIANAPOLIS, IN 46202-5149
(317) 962-8851
(317) 962-5957
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
02007167A
IN
207R00000X
Internal Medicine Physician
34.014305
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
068010897
MEDICARE PTAN
IN
05
—
300075154
—
IN
Enumeration date
03/31/2017
Last updated
09/01/2023
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