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Individual

MELISSA W KO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1701 N SENATE BLVD, INDIANAPOLIS, IN 46202-1239
(888) 484-3258
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
(877) 668-5621

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
01082281A
IN
207WX0109X
Neuro-ophthalmology Physician
01082281A
IN
2084N0400X
Neurology Physician
Primary
01082281A
IN
2084N0400X
Neurology Physician
247639
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02972085
NY
05
300029440
IN
Enumeration date
12/27/2006
Last updated
03/13/2025
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