Provider Demographics
NPI:1922595966
Name:SALTAGI, DANIA (PA-C)
Entity Type:Individual
Prefix:
First Name:DANIA
Middle Name:
Last Name:SALTAGI
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:355 WESTFIELD RD STE 114
Mailing Address - Street 2:
Mailing Address - City:NOBLESVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46060-1442
Mailing Address - Country:US
Mailing Address - Phone:317-770-2937
Mailing Address - Fax:317-770-2938
Practice Address - Street 1:355 WESTFIELD RD STE 114
Practice Address - Street 2:
Practice Address - City:NOBLESVILLE
Practice Address - State:IN
Practice Address - Zip Code:46060-1442
Practice Address - Country:US
Practice Address - Phone:317-770-2937
Practice Address - Fax:317-770-2938
Is Sole Proprietor?:Yes
Enumeration Date:2018-04-16
Last Update Date:2022-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN10002474A363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN300016830Medicaid