Individual
PETER PANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1701 N SENATE BLVD, RM DG412, INDIANAPOLIS, IN 46202-1239
(317) 962-3886
(317) 963-5492
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
01073716A
IN
207P00000X
Emergency Medicine Physician
036110937
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201213920
—
IN
Enumeration date
07/05/2006
Last updated
03/15/2025
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