Individual
DR. JENNIFER NICOLE CHOI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
550 UNIVERSITY BLVD, SUITE 1295, INDIANAPOLIS, IN 46202-5149
(317) 944-8330
(317) 968-1031
Mailing address
250 N SHADELAND AVE, STE 130 PROVIDER ENROLLMENT, INDIANAPOLIS, IN 46219-4959
(317) 944-8330
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
01058715A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000536763
ANTHEM PIN
IN
05
—
200867830
—
IN
Enumeration date
05/17/2007
Last updated
02/03/2021
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