Provider Demographics
NPI:1508157389
Name:HWANG, KARA ZIMMERMAN (MD)
Entity Type:Individual
Prefix:
First Name:KARA
Middle Name:ZIMMERMAN
Last Name:HWANG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:KARA
Other - Middle Name:
Other - Last Name:ZIMMERMAN HWANG
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:11650 LANTERN RD
Mailing Address - Street 2:SUITE 209
Mailing Address - City:FISHERS
Mailing Address - State:IN
Mailing Address - Zip Code:46038-2993
Mailing Address - Country:US
Mailing Address - Phone:317-439-4111
Mailing Address - Fax:317-842-7479
Practice Address - Street 1:11650 LANTERN RD
Practice Address - Street 2:SUITE 209
Practice Address - City:FISHERS
Practice Address - State:IN
Practice Address - Zip Code:46038-2993
Practice Address - Country:US
Practice Address - Phone:317-439-4111
Practice Address - Fax:317-842-7479
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-27
Last Update Date:2011-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN010471652084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry