Individual
DR. DANIEL A GAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O., F.A.C.P.
Contact information
Practice address
1199 HADLEY RD STE 100, MOORESVILLE, IN 46158-1788
(317) 834-3263
(317) 834-5194
Mailing address
PO BOX 781076, DETROIT, MI 48278-1076
(317) 528-4800
(317) 865-1479
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
02002405
IN
207U00000X
Nuclear Medicine Physician
02002405
IN
208M00000X
Hospitalist Physician
02002405A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000190965
ANTHEM IM IDENTIFICATION
IN
01
—
000000277881
ANTHEM NUC MED ID
IN
05
—
200324060
—
IN
01
—
64030406
KY MEDICAID
KY
Enumeration date
11/28/2006
Last updated
07/31/2023
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