Maddela, Daniel E
Maddela, Daniel E is an individual health care provider with primary practice located at 1720 Beacon St , Fort Wayne IN 46805-4749. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Maddela, Daniel E can be contacted via phone (260) 373-8000.Contact Information
Primary practice address
1720 Beacon St
Fort Wayne IN 46805-4749
Phone: (260) 373-8000
Fax: (260) 373-8034
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | MD00032406 | Washington |
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 01075977A | Indiana |
Profile Details
| NPI number | 1295892206 |
|---|---|
| LBN Legal business name | Maddela, Daniel E |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 2nd, 2007 |
| Last updated | Oct 7th, 2022 - about 3 years 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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