Individual
YUKAKO SUZUKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
550 UNIVERSITY BLVD, INDIANAPOLIS, IN 46202-5149
(317) 944-4897
(317) 944-2070
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
01083621A
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000001418360
ANTHEM PTAN
IN
05
—
300041799
—
IN
Enumeration date
03/21/2007
Last updated
11/25/2024
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