Individual
DR. DARIA BETH KAVAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
860 E 86TH ST, INDIANAPOLIS, IN 46240-6859
(317) 580-3200
Mailing address
PO BOX 4780, BLOOMINGTON, IN 47402-4780
(812) 336-1690
(812) 349-1311
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01065470A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01065470A
INDIANA LICENSE
IN
01
—
01065470B
CSR
IN
Enumeration date
06/15/2008
Last updated
03/07/2023
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