Individual
DANIELLE M JANOSEVIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1701 N SENATE BLVD, INDIANAPOLIS, IN 46202-1239
(317) 944-8660
(317) 274-7792
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
(877) 668-5621
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
02005650A
IN
207RN0300X
Nephrology Physician
Primary
02005650A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
264910227
MEDICARE
IN
05
—
300028054
—
IN
Enumeration date
06/05/2014
Last updated
03/15/2025
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