HAGGAN JULIJANTO NPI 1871460055

NPI Details

Haggan Julijanto is a physician assistant in Kokomo, IN with 1 years of experience. The provider is 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, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. Haggan Julijanto NPI is 1871460055. The provider is registered as an individual entity type.

The provider's business location address is:

2004 W SYCAMORE ST
KOKOMO, IN
ZIP 46901-112
Phone: (574) 780-0102

The NPI 1871460055 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/21/2025 and was last updated on 10/21/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available: