Provider Demographics
NPI:1427784099
Name:PATEL, DAINA ASHWIN (BSN-RN)
Entity type:Individual
Prefix:
First Name:DAINA
Middle Name:ASHWIN
Last Name:PATEL
Suffix:
Gender:F
Credentials:BSN-RN
Other - Prefix:
Other - First Name:DAINA
Other - Middle Name:ADIAN
Other - Last Name:QURESHI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BSN-RN
Mailing Address - Street 1:3418 LINDEL LN
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46268-2777
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2001 W 86TH ST
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46260-1902
Practice Address - Country:US
Practice Address - Phone:317-338-2345
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-07-26
Last Update Date:2022-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN28194987A163WC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0200XNursing Service ProvidersRegistered NurseCritical Care Medicine