Individual
MRS. DANIELA GUEORGUIEVA DJODJEVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
12574 PROMISE CREEK LN STE 110, FISHERS, IN 46038-7713
(317) 900-1206
(317) 773-0844
Mailing address
13091 PINNER AVE, FISHERS, IN 46037
(317) 900-1206
(317) 773-0844
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01058198
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000335291
ANTHEM
IN
05
—
200484360
—
IN
Enumeration date
07/27/2006
Last updated
01/28/2022
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