Provider Demographics
NPI:1811187818
Name:ANZALDUA, DANIEL AMALIO (MD)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:AMALIO
Last Name:ANZALDUA
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:484 E CARMEL DR STE 309
Mailing Address - Street 2:
Mailing Address - City:CARMEL
Mailing Address - State:IN
Mailing Address - Zip Code:46032-2812
Mailing Address - Country:US
Mailing Address - Phone:317-660-1379
Mailing Address - Fax:317-660-1379
Practice Address - Street 1:484 E CARMEL DR STE 309
Practice Address - Street 2:
Practice Address - City:CARMEL
Practice Address - State:IN
Practice Address - Zip Code:46032-2812
Practice Address - Country:US
Practice Address - Phone:317-660-1379
Practice Address - Fax:317-660-1379
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-26
Last Update Date:2012-11-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IN01065976A207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology