Individual
DANIELLE CHRISTINE CUMMINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1001 W 10TH STREET, WEST PAVILION M200, INDIANAPOLIS, IN 46202
(317) 656-4260
Mailing address
307 W STOP 11 ROAD, INDIANAPOLIS, IN 46217
(765) 586-7431
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
01079290A
IN
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
01079290A
IN
390200000X
Student in an Organized Health Care Education/Training Program
11017044A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000001195697
ANTHEM PTAN
IN
Enumeration date
05/21/2013
Last updated
11/27/2024
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