Individual
DANIEL MYRON OVERCASH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6620 PARKDALE PL, INDIANAPOLIS, IN 46254-5620
(317) 415-7373
Mailing address
6620 PARKDALE PL, INDIANAPOLIS, IN 46254-5620
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01037839A
IN
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
01037839A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100345390
—
IN
Enumeration date
11/23/2005
Last updated
08/08/2022
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