Provider Demographics
NPI:1992886352
Name:CRABB, DANIEL G (MD)
Entity type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:G
Last Name:CRABB
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:10330 N MERIDIAN ST
Mailing Address - Street 2:SUITE 201
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46290-1024
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:310 MEDICAL DR
Practice Address - Street 2:SUITE 101
Practice Address - City:CARMEL
Practice Address - State:IN
Practice Address - Zip Code:46032-3077
Practice Address - Country:US
Practice Address - Phone:317-415-6350
Practice Address - Fax:317-415-6351
Is Sole Proprietor?:No
Enumeration Date:2006-10-18
Last Update Date:2013-04-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IN01030209207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
000000084076OtherANTHEM
IN100332700AMedicaid
000000084076OtherANTHEM
IN100332700AMedicaid