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Individual

MICHELLE PAEK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1633 N CAPITOL AVE STE 301, INDIANAPOLIS, IN 46202-1476
(317) 963-5996
(317) 963-5446
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01090255A
IN
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
01090255A
IN
390200000X
Student in an Organized Health Care Education/Training Program
TL.0007541
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1103116543
ANTHEM PTAN
IN
05
300081235
IN
Enumeration date
04/02/2019
Last updated
03/15/2025
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