Individual
DR. BEN HUANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D,I,
Contact information
Practice address
3630 GUION RD, INDIANAPOLIS, IN 46222-1616
(317) 920-7195
(317) 920-7551
Mailing address
7752 TRADERS COVE LN, INDIANAPOLIS, IN 46254-9617
(317) 955-6263
(317) 920-7551
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
02001262
IN
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
02001262
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000081257
BLUE CROSS INDIANA
IN
01
—
02001262
STATE LICENSE NUMBER
IN
01
—
100270690A
MEDICAID GROUP NO.
IN
05
—
100339680
—
IN
05
—
100339680A
—
IN
01
—
930071191
RAILROAD MEDICARE
IN
01
—
Q0086911
SUBURBAN HEALTH
IN
Enumeration date
07/01/2005
Last updated
11/08/2013
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