Individual
WOO J YI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1701 N SENATE BLVD, INDIANAPOLIS, IN 46202-1239
(317) 567-2180
(317) 567-2191
Mailing address
PO BOX 7232, DEPT 118, INDIANAPOLIS, IN 46207-7232
(317) 567-2180
(317) 567-2191
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
01062052
IN
207L00000X
Anesthesiology Physician
Primary
01062052A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000001566150
ANTHEM PTAN
IN
01
—
1102490023
ANTHEM PTAN
IN
05
—
200841360
—
IN
05
—
300030758
—
IN
Enumeration date
06/03/2006
Last updated
11/21/2024
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