MEDICARE: DR. DANYAL WANI

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	390200000X	Student in an Organized Health Care Education/Training Program
2	207R00000X	Internal Medicine Physician	11024518A	IN

General Provider Information

NPI Number	:	1720874373
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DANYAL WANI

Provider Business Mailing Address
First Line	:	801 SAINT MARYS DR STE 300
Second Line	:
City	:	EVANSVILLE
State	:	IN
Zip	:	47714-0511
Country	:	US
Telephone Number	:	812-485-5300
Fax Number	:	812-485-1775

Provider Business Practice Location Address
First Line	:	801 SAINT MARYS DR STE 300
Second Line	:
City	:	EVANSVILLE
State	:	IN
Zip	:	47714-0511
Country	:	US
Telephone Number	:	812-485-5300
Fax Number	:	812-485-1775

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

Provider Enumeration Date	:	04/18/2025
Last Update Date	:	06/12/2026

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Directions to “ DR. DANYAL WANI ” Practice Location

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