Individual provider · Type 1 NPI

Jason Male (m) Tung

Student in an Organized Health Care Education/Training Program · Indianapolis, IN

NPI number 1508758558 Active

Practice location

420 University Blvd
Indianapolis, IN 46202-5147

Mailing address

1202 Elliston Ct
Crown Point, IN 46307-2670

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1508758558

Jason Male (m) Tung's National Provider Identifier is 1508758558, issued on Jul 16, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Indianapolis, IN. The record was last updated on Jul 16, 2025.