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NPI Code Detail

MEDICARE: DANIEL WILLIAM WEED MD

MEDICARE: DANIEL WILLIAM WEED MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12085R0001XRadiation Oncology Physician13738NV
22085R0001XRadiation Oncology Physician01058969AIN

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1P00136772OTHERINRR MEDICARE PIN
3P01211440OTHERINRR MEDICARE PTAN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1194725937
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANIEL WILLIAM WEED MD
Provider Business Mailing Address
First Line : 6626 E 75TH ST
Second Line : SUITE 500
City : INDIANAPOLIS
State : IN
Zip : 46250-2805
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 7229 CLEARVISTA DR
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46256-1698
Country : US
Telephone Number : 317-621-4300
Fax Number : 317-621-4366
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/22/2005
Last Update Date : 11/27/2023

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Directions to “ DANIEL WILLIAM WEED MD” Practice Location

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