Provider Demographics
NPI:1073516449
Name:DULAY, DION J (MD)
Entity Type:Individual
Prefix:
First Name:DION
Middle Name:J
Last Name:DULAY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:5200 WASHINGTON AVE
Mailing Address - Street 2:STE 3000
Mailing Address - City:EVANSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47715-4863
Mailing Address - Country:US
Mailing Address - Phone:812-476-1462
Mailing Address - Fax:812-473-3938
Practice Address - Street 1:5200 WASHINGTON AVE
Practice Address - Street 2:STE 3000
Practice Address - City:EVANSVILLE
Practice Address - State:IN
Practice Address - Zip Code:47715-4863
Practice Address - Country:US
Practice Address - Phone:812-476-1462
Practice Address - Fax:812-473-3938
Is Sole Proprietor?:Yes
Enumeration Date:2005-05-31
Last Update Date:2022-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01031016174400000X, 207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN639030Medicare ID - Type Unspecified
INB29652Medicare UPIN