Provider Demographics
NPI:1841297165
Name:HUANG, BEN (D,I,)
Entity type:Individual
Prefix:DR
First Name:BEN
Middle Name:
Last Name:HUANG
Suffix:
Gender:M
Credentials:D,I,
Other - Prefix:
Other - First Name:WESTVIEW ER
Other - Middle Name:
Other - Last Name:PHYSICIANS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DO
Mailing Address - Street 1:7752 TRADERS COVE LN
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46254-9617
Mailing Address - Country:US
Mailing Address - Phone:317-955-6263
Mailing Address - Fax:317-920-7551
Practice Address - Street 1:3630 GUION RD
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46222-1616
Practice Address - Country:US
Practice Address - Phone:317-920-7195
Practice Address - Fax:317-920-7551
Is Sole Proprietor?:No
Enumeration Date:2005-07-01
Last Update Date:2013-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN02001262207P00000X, 207PE0004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
No207PE0004XAllopathic & Osteopathic PhysiciansEmergency MedicineEmergency Medical Services
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN930071191OtherRAILROAD MEDICARE
IN100339680Medicaid
IN100339680AMedicaid
INQ0086911OtherSUBURBAN HEALTH
IN000000081257OtherBLUE CROSS INDIANA
IN02001262OtherSTATE LICENSE NUMBER
IN100270690AOtherMEDICAID GROUP NO.
IN941480LMedicare ID - Type UnspecifiedMEDICARE ER PHYSICIAN
INQ0086911OtherSUBURBAN HEALTH
IN131180CCCMedicare PIN
IN100339680Medicaid
IN142190NNMedicare PIN