Individual
DANIEL JOSEPH HURLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2429 N DELAWARE ST, INDIANAPOLIS, IN 46205-4333
(317) 859-1090
(317) 941-7254
Mailing address
PO BOX 100, BEECH GROVE, IN 46107-0100
(317) 859-1090
(317) 941-7254
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
01029180A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000015258
M PLAN
IN
01
—
000000091649
ANTHEM
IN
01
—
01029180B
CSR
IN
05
—
100359320
—
IN
01
—
10816013
CAQH
IN
01
—
351994904
TAX IDENTIFICATION
IN
01
—
380000985
RAILROAD MEDICARE
IN
Enumeration date
01/15/2007
Last updated
09/28/2025
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