Individual
DANIEL JASON ORDAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
201 S DELAWARE ST STE 500, INDIANAPOLIS, IN 46204-3746
(317) 415-5747
Mailing address
250 W 96TH ST # 520, INDIANAPOLIS, IN 46260-1316
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
01072784A
IN
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
01072784A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201098750
—
IN
01
—
Q00311012
RAILROAD MEDICARE
IN
Enumeration date
03/28/2010
Last updated
08/26/2022
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