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Individual

DAVID FELIX CANAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
550 UNIVERSITY BLVD, INDIANAPOLIS, IN 46202-5149
(317) 270-6400
(317) 274-0241
Mailing address
250 N SHADELAND AVE, STE 130 PROVIDER ENROLLMENT, INDIANAPOLIS, IN 46219-4959
(317) 963-0860

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
01036715A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000386147
ANTHEM PIN
IN
05
100354840
IN
Enumeration date
05/03/2006
Last updated
06/20/2014
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