Individual
KENG-SIANG PNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MBBS
Contact information
Practice address
535 BARNHILL DR, STE 420, INDIANAPOLIS, IN 46202-5116
(317) 274-7451
(317) 274-0174
Mailing address
535 BARNHILL DR, STE 420, INDIANAPOLIS, IN 46202-5116
(317) 274-7451
(317) 274-0174
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
11015911A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11015911A
INDIANA LICENSE
IN
Enumeration date
08/22/2011
Last updated
08/22/2011
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