Healthcare Provider Details

I. General information

NPI: 1750432969
Provider Name (Legal Business Name): DANIEL JOSEPH HURLEY M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/15/2007
Last Update Date: 09/28/2025
Certification Date: 09/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2429 N DELAWARE ST
INDIANAPOLIS IN
46205-4333
US

IV. Provider business mailing address

PO BOX 100
BEECH GROVE IN
46107-0100
US

V. Phone/Fax

Practice location:
  • Phone: 317-859-1090
  • Fax: 317-941-7254
Mailing address:
  • Phone: 317-859-1090
  • Fax: 317-941-7254

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0300X
TaxonomyGeriatric Medicine (Internal Medicine) Physician
License Number01029180A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: