# DR. DARREN ROBERT DOLLY

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

## Provider details

- **NPI number:** 1750601175
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 01074203A | IN | Yes |

## Other

- **Enumeration date:** 06/08/2010
- **Last updated:** 01/07/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 201254340 | — | IN |
| 01 | — | 23604010 | MEDICARE PTAN | IN |
| 01 | — | 565800013 | MEDICARE PTAN | IN |