Provider Demographics
NPI:1184638488
Name:DARDEN, IVY L (MD)
Entity Type:Individual
Prefix:DR
First Name:IVY
Middle Name:L
Last Name:DARDEN
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:2615 E CLINTON AVE
Mailing Address - Street 2:DEPT OF MEDICINE (111)
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93703-2223
Mailing Address - Country:US
Mailing Address - Phone:559-228-5327
Mailing Address - Fax:559-241-6484
Practice Address - Street 1:2615 E CLINTON AVE
Practice Address - Street 2:DEPT OF MEDICINE (111)
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93703-2223
Practice Address - Country:US
Practice Address - Phone:559-228-5327
Practice Address - Fax:559-241-6484
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-29
Last Update Date:2018-09-14
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAG55952207R00000X, 208M00000X, 207RC0200X, 207RH0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
No207RH0002XAllopathic & Osteopathic PhysiciansInternal MedicineHospice and Palliative Medicine