Individual
DUYKHANH PHAM CEPPA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
535 BARNHILL DR # EM215, INDIANAPOLIS, IN 46202-5116
(317) 944-1121
(317) 274-2940
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
01069368A
IN
390200000X
Student in an Organized Health Care Education/Training Program
103648
NC
Other
Enumeration date
05/12/2008
Last updated
01/04/2021
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