Individual
DANIELLE T BAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1633 N CAPITOL AVE STE 640, INDIANAPOLIS, IN 46202-1281
(317) 962-8881
(317) 962-0838
Mailing address
1633 N CAPITOL AVE STE 640, INDIANAPOLIS, IN 46202-1281
(317) 962-8881
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
01090318A
IN
390200000X
Student in an Organized Health Care Education/Training Program
11019927A
IN
Other
Enumeration date
05/30/2018
Last updated
08/21/2025
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