Individual
DANISHA SHAVONNE MCCALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4199 GATEWAY BLVD, NEWBURGH, IN 47630-8940
(812) 842-4108
(812) 842-4227
Mailing address
PO BOX 637273, CINCINNATI, OH 45263-7273
(812) 842-4550
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
A136503
CA
2080N0001X
Neonatal-Perinatal Medicine Physician
01079674A
IN
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
A136503
CA
208M00000X
Hospitalist Physician
A136503
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01079674A
IN LICENSE
IN
05
—
300011201
—
IN
Enumeration date
04/10/2012
Last updated
08/30/2019
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