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Individual

HEIKO KONIG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD PHD

Contact information

Practice address
720 ESKENAZI AVE, INDIANAPOLIS, IN 46202-5187
(317) 880-0000
(317) 880-0000
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01073751A
IN
207RH0003X
Hematology & Oncology Physician
Primary
01073751A
IN
207RX0202X
Medical Oncology Physician
01073751A
IN
390200000X
Student in an Organized Health Care Education/Training Program
2008015409
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
201239040
IN
Enumeration date
07/10/2008
Last updated
03/17/2025
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