Individual
YUNPENG YANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11700 N MERIDIAN ST, CARMEL, IN 46032-4656
(317) 577-4200
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
01085518A
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000001563814
ANTHEM PTAN
IN
01
—
1102575350
ANTHEM PTAN
IN
05
—
300053662
—
IN
01
—
Q00202344
RAILROAD PTAN
IN
Enumeration date
04/11/2017
Last updated
11/20/2024
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