Provider Demographics
NPI:1598571283
Name:HNEM, THIAN PEK
Entity type:Individual
Prefix:
First Name:THIAN
Middle Name:PEK
Last Name:HNEM
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:129 GAZEBO DR
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46227-3007
Mailing Address - Country:US
Mailing Address - Phone:317-665-2711
Mailing Address - Fax:
Practice Address - Street 1:129 GAZEBO DR
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46227-3007
Practice Address - Country:US
Practice Address - Phone:317-665-2711
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-12-06
Last Update Date:2024-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program