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NPI Code Detail

MEDICARE: DR. DAVID DIAZ MD

MEDICARE: DR. DAVID DIAZ 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
1208600000XSurgery PhysicianME46696FL
2208600000XSurgery Physician01062673AIN

General Provider Information

NPI Number : 1639101058
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DAVID DIAZ MD
Provider Business Mailing Address
First Line : 13430 N MERIDIAN ST STE 275
Second Line :
City : CARMEL
State : IN
Zip : 46032-1484
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 13430 N MERIDIAN ST
Second Line : SUITE 275
City : CARMEL
State : IN
Zip : 46032-1405
Country : US
Telephone Number : 317-582-8810
Fax Number : 317-582-8863
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/07/2006
Last Update Date : 06/17/2022

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Directions to “ DR. DAVID DIAZ MD” Practice Location

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