Individual
ANNA L HUANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5550 S. EAST STREET, STE. 1, INDIANAPOLIS, IN 46227-1991
(317) 780-4080
Mailing address
250 N SHADELAND AVE, STE 130 PROVIDER ENROLLMENT, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
0101247515
VA
207Q00000X
Family Medicine Physician
Primary
01070483A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201043620
—
IN
Enumeration date
06/08/2007
Last updated
02/24/2014
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