Provider Demographics
NPI:1164466389
Name:HO, PAUL K (MD)
Entity Type:Individual
Prefix:
First Name:PAUL
Middle Name:K
Last Name:HO
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:8330 NAAB RD
Mailing Address - Street 2:SUITE 314
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46260-5925
Mailing Address - Country:US
Mailing Address - Phone:317-876-3370
Mailing Address - Fax:317-876-3371
Practice Address - Street 1:8330 NAAB RD
Practice Address - Street 2:SUITE 314
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46260-5925
Practice Address - Country:US
Practice Address - Phone:317-876-3370
Practice Address - Fax:317-876-3371
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-16
Last Update Date:2014-10-03
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IN01044296207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200050710BMedicaid
IN01044296OtherSTATE LICENSE
IN200050710BMedicaid
IN899370Medicare ID - Type Unspecified