MEDICARE: SANJU J DAFTARI 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
1	207Q00000X	Family Medicine Physician	01048910	IN

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	0801922004	OTHER	IN	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	000000230988	OTHER	IN	ANTHEM

General Provider Information

NPI Number	:	1013955764
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SANJU J DAFTARI 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	:	11911 N MERIDIAN ST
Second Line	:	SUITE 150
City	:	CARMEL
State	:	IN
Zip	:	46032-6904
Country	:	US
Telephone Number	:	317-621-6701
Fax Number	:	317-621-6707

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/03/2006
Last Update Date	:	04/13/2017

Similar Medicare Providers

1194780296 — MERIDIAN ORTHOPEDICS, PC
Practice Location Address:

11911 N MERIDIAN ST , SUITE 120
CARMEL, IN
46032-6904

Practice Phone: 317-621-6760
Practice Fax: 317-962-6761

1639122518 — COMMUNITY HOSPITALS OF INDIANA, INC
Practice Location Address:

11911 N MERIDIAN ST , SUITE 150
CARMEL, IN
46032-6904

Practice Phone: 317-621-6701
Practice Fax: 317-621-6707

1184657918 — BRIAN J ULMER MD
Practice Location Address:

11911 N MERIDIAN ST STE 125
CARMEL, IN
46032-6904

Practice Phone: 317-621-1006
Practice Fax:

1356365795 — COMMUNITY HOSPITALS OF INDIANA INC
Practice Location Address:

11911 N MERIDIAN ST , SUITE 180
CARMEL, IN
46032-6904

Practice Phone: 317-621-6888
Practice Fax:

1609880053 — JENNIFER LAYMAN
Practice Location Address:

11911 N MERIDIAN ST , SUITE 180
CARMEL, IN
46032-6904

Practice Phone: 317-621-6888
Practice Fax:

1902810831 — ALICIA LEEDY MD
Practice Location Address:

11911 N MERIDIAN ST , SUITE 180
CARMEL, IN
46032-6904

Practice Phone: 317-621-6888
Practice Fax: 317-621-6886

Directions to “ SANJU J DAFTARI MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.