Provider Demographics
NPI:1851370050
Name:KAUP, DANNY PATRICK (MD)
Entity Type:Individual
Prefix:DR
First Name:DANNY
Middle Name:PATRICK
Last Name:KAUP
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1051 SOUTHPOINT CIR STE A
Mailing Address - Street 2:
Mailing Address - City:VALPARAISO
Mailing Address - State:IN
Mailing Address - Zip Code:46385-6256
Mailing Address - Country:US
Mailing Address - Phone:219-286-3855
Mailing Address - Fax:219-703-6760
Practice Address - Street 1:1051 SOUTHPOINT CIR STE A
Practice Address - Street 2:
Practice Address - City:VALPARAISO
Practice Address - State:IN
Practice Address - Zip Code:46385-6256
Practice Address - Country:US
Practice Address - Phone:219-286-3855
Practice Address - Fax:197-036-7602
Is Sole Proprietor?:No
Enumeration Date:2006-01-16
Last Update Date:2020-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01032171A207Q00000X, 207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
D95572Medicare UPIN
IN210540Medicare ID - Type Unspecified