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Individual

DANIEL T CHERIYE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1120 W MICHIGAN ST # CL630, INDIANAPOLIS, IN 46202-5209
(317) 278-2686
Mailing address
1120 W MICHIGAN ST # CL630, INDIANAPOLIS, IN 46202-5209

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01083824A
IN
207R00000X
Internal Medicine Physician
11019582A
IN
208M00000X
Hospitalist Physician
01083824A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
090540912
MEDICARE PTAN
IN
05
300004894
IN
Enumeration date
06/21/2017
Last updated
04/15/2026
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