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Contact Information

DAVID R DIAZ, MD
355 W 16TH ST
INDIANAPOLIS, IN46202-2207
 Phone: 317-963-7300
 Fax: 317-963-7325
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatry

2084P0800X 26 Physician/Psychiatry
 

Psychosomatic Medicine

2084P0015X 86 Physician/Neuropsychiatry
Indicates primary specialty

NPI Profile & details for DAVID R DIAZ · (Male)

NPI Number 1932101391
Status Active
Credentials MD
Entity Individual
Enumeration date 08/15/2005
Last updated 04/24/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • IN License # 01034550A
  • IN Medicaid 100126480
  • IN Other 264430910 MEDICARE PTAN
  • IN Other CJ7541 MEDICARE RR GROUP#
  • IN Other P02556180 RAILROAD PTAN
Hospital affiliation(s)
  • INDIANA UNIVERSITY HEALTH - (Acute Care)
    1701 N SENATE BLVD
    INDIANAPOLIS, IN 46202
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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