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Dr. Daniel J Livera, MD
Student in an Organized Health Care Education/Training Program in Portland, Indiana
NPI 1043838543

Daniel J Livera is a Student in an Organized Health Care Education/Training Program based in Indianapolis, IN. Daniel J Livera practices in Portland, IN and has the professional credentials of MD. The NPI Number for Daniel J Livera is 1043838543 and holds a License No. 01089292A (Indiana).

The current practice location address for Daniel J Livera is 428 W Votaw St, Portland, IN and can be reached out via phone at 260-726-8822. You can also correspond with Daniel J Livera through the mailing address at 250 N SHADELAND AVE, INDIANAPOLIS, IN - 46219-4959 (mailing address contact number: ).

Location: 428 W Votaw St, Portland, IN, 46219-4959
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1043838543
Provider Name
Daniel J Livera
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
428 W Votaw St, Portland, IN, 46219-4959
Phone Number
260-726-8822
Fax Number
Provider Enumeration Date
07/10/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
M12240475 01 IN MEDICARE PTAN
300040515 05 IN
institution
Provider Business Practice Location Address Details
Address
428 W Votaw St
City
Portland
State
Indiana
Zip
47371-1302
Phone Number
260-726-8822
Fax Number
person
Provider Business Mailing Address Details
Address
250 N Shadeland Ave
City
Indianapolis
State
Indiana
Zip
46219-4959
Phone Number
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
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Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
01089292A (Indiana)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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