Individual provider · Type 1 NPI
Haggan Julijanto
Physician Assistant · Kokomo, IN
Practice location
2004 W Sycamore St
Kokomo, IN 46901-4112
Mailing address
14053 Four Seasons Way
Carmel, IN 46074-8588
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant Primary | 363A00000X | 10005054A (IN) |
Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…
3 other providers at this address
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About NPI 1871460055
Haggan Julijanto's National Provider Identifier is 1871460055, issued on Oct 21, 2025. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Kokomo, IN. The record was last updated on Oct 21, 2025.