Individual
DANIEL FEYROUZ SAADEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
720 ESKENAZI AVE, INDIANAPOLIS, IN 46202-5187
(317) 639-6671
(317) 963-5492
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
01089690A
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200640075
MEDICARE PTAN
IN
01
—
264430H28
MEDICARE PTAN
IN
05
—
300073966
—
IN
01
—
364430309
MEDICARE PTAN
IN
Enumeration date
03/23/2020
Last updated
08/31/2023
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