Individual
CHAD J DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8402 HARCOURT RD, STE 815, INDIANAPOLIS, IN 46260-2074
(317) 872-1158
(317) 872-1186
Mailing address
8402 HARCOURT RD, STE 815, INDIANAPOLIS, IN 46260-2074
(317) 872-1158
(317) 872-1186
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
1033746A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000084283
BLUE CROSS
IN
05
—
100131690
—
IN
01
—
330001346
RAILROAD MEDICARE
—
01
—
351468850007
CIGNA
IN
01
—
4362266
AETNA
IN
01
—
677800B
MEDICARE
IN
Enumeration date
03/28/2006
Last updated
10/17/2013
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