# DANA STUART PFAFF

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1235198227
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208800000X | Urology Physician | 01029357A | IN | Yes |

## Other

- **Enumeration date:** 03/20/2006
- **Last updated:** 10/29/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000537534 | ANTHEM PROVIDER NUMBER | — |
| 05 | — | 100144870 | — | IN |
| 01 | — | 11485705 | CAQH NUMBER | IN |