NPI 1013530849 · live from the CMS NPI Registry
Milie Fang, DO
Dermatology in Indianapolis, IN. National Provider Identifier 1013530849, active.
NPI record
| NPI | 1013530849 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dermatology 207N00000X |
| Practice location | 705 Riley Hospital Dr, Indianapolis, IN 46202 |
| Practice phone | 317-948-3052 |
| Mailing address | 250 N Shadeland Ave, Indianapolis, IN 46219 |
| Enumerated | May 27, 2020 |
| Last updated | May 28, 2026 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dermatology primary | 207N00000X | 02008988A (IN) |
| Dermatology | 207N00000X | PG215976 (OR) |
| Dermatology | 207N00000X | DO.OP.61660584 (WA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.