Provider Demographics
NPI:1811912140
Name:SALVAS, DANIEL B (MD)
Entity type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:B
Last Name:SALVAS
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 1:679 E COUNTY LINE RD
Mailing Address - Street 2:
Mailing Address - City:GREENWOOD
Mailing Address - State:IN
Mailing Address - Zip Code:46143-1049
Mailing Address - Country:US
Mailing Address - Phone:317-890-2000
Mailing Address - Fax:317-859-4269
Practice Address - Street 1:1159 W JEFFERSON ST STE 302
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:IN
Practice Address - Zip Code:46131-2192
Practice Address - Country:US
Practice Address - Phone:318-890-2000
Practice Address - Fax:317-736-9820
Is Sole Proprietor?:No
Enumeration Date:2006-07-13
Last Update Date:2024-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01039803A208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN000000091684OtherANTHEM PROVIDER NUMBER
IN100354600Medicaid
IN000000091684OtherANTHEM PROVIDER NUMBER
IN340012516OtherMEDICARE RAILROAD
IN340012502OtherMEDICARE RAILROAD
IN100194370OtherMEDICAID GROUP NUMBER
IN1487680518OtherGROUP NPI NUMBER
IN100354600Medicaid
IN340012502OtherMEDICARE RAILROAD
IN896480NMedicare PIN
IN597870NMedicare PIN