Individual
UTPAL P DAVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
535 BARNHILL DRIVE, INDIANAPOLIS, IN 46202-5112
(317) 944-4897
(317) 944-3684
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01077437A
IN
207RH0000X
Hematology (Internal Medicine) Physician
01077437A
IN
207RH0000X
Hematology (Internal Medicine) Physician
MD40424
TN
207RH0003X
Hematology & Oncology Physician
Primary
01077437A
IN
207RX0202X
Medical Oncology Physician
01077437A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000001049991
ANTHEM PTAN
IN
05
—
201388130
—
IN
Enumeration date
10/25/2006
Last updated
03/06/2025
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