Diaz, David Ray

Diaz, David Ray is an individual health care provider with primary practice located at 355 W 16Th St , Indianapolis IN 46202-2207. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychosomatic Medicine, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Diaz, David Ray can be contacted via phone (317) 963-7300.

Contact Information

Primary practice address
355 W 16Th St Indianapolis IN 46202-2207
Phone: (317) 963-7300
Fax: (317) 963-7325
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychosomatic Medicine 2084P0015X 01034550A Indiana
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 01034550A Indiana

Profile Details

NPI number 1932101391
LBN Legal business name Diaz, David Ray
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2005
Last updated Apr 24th, 2024 - about 8 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1932101391 NPPES
Indiana Other CJ7541 MEDICARE RR GROUP#
Indiana MEDICAID 100126480 MEDICARE RR GROUP#
Indiana Other 264430910 MEDICARE RR GROUP#
Indiana Other P02556180 MEDICARE RR GROUP#

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