Healthcare Provider Details

I. General information

NPI: 1679749360
Provider Name (Legal Business Name): EMILY C HON MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: EMILY M. CONTRERAS M.D.

II. Dates (important events)

Enumeration Date: 05/02/2008
Last Update Date: 12/12/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

705 RILEY HOSPITAL DR ROC 4210
INDIANAPOLIS IN
46202-5109
US

IV. Provider business mailing address

PO BOX 1026
INDIANAPOLIS IN
46206-1026
US

V. Phone/Fax

Practice location:
  • Phone: 317-944-3774
  • Fax: 317-944-8521
Mailing address:
  • Phone: 317-274-1201
  • Fax: 317-278-9905

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080P0206X
TaxonomyPediatric Gastroenterology Physician
License Number01071279
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: