Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207K00000X | Allergist & Immunologist | 01027436 | IN |
Y | 208000000X | Pediatrician | 01027436 | IN |
N | 208D00000X | General Practice Physician | 01027436 | IN |
NPI | 1104813815 |
---|---|
Provider Name | Dr. Do Sung Hwang |
First Address | Crawfordsville, IN 47933-1071 |
Second Address | Crawfordsville, IN 47933-1071 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/09/2005 |
Last Update Date | 22/05/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
100185410A | (05) | IN |
C25367 | (02) | IN |