Nam, Douglas K

Nam, Douglas K is an individual health care provider with primary practice located at 13100 E 136Th St Suite 3000, Fishers IN 46037-9817. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Nam, Douglas K can be contacted via phone (317) 678-3900.

Contact Information

Primary practice address
13100 E 136Th St Suite 3000 Fishers IN 46037-9817
Phone: (317) 678-3900
Fax: (317) 678-3910
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 01069647A Indiana
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 01069647A Indiana

Profile Details

NPI number 1275652497
LBN Legal business name Nam, Douglas K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 28th, 2007
Last updated Nov 15th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275652497 NPPES
Indiana Other 000000790143 ANTHEM BCBS PIN
Indiana MEDICAID 201032650 ANTHEM BCBS PIN

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