Individual
DR. TONY YICHUAN REN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1120 SOUTH DR, FESLER HALL RM. 224, INDIANAPOLIS, IN 46202-5135
(317) 274-8282
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01078847A
IN
390200000X
Student in an Organized Health Care Education/Training Program
11017669A
IN
Other
Enumeration date
06/13/2014
Last updated
03/10/2022
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