| Dr Diane Dierdre Daly, MD | |
| 6119 W Jefferson Blvd, Fort Wayne, IN 46804-3072 | |
| (260) 432-1568 | |
| (260) 432-4969 | 
| Full Name | Dr Diane Dierdre Daly | 
|---|---|
| Gender | Female | 
| Speciality | Radiology - Diagnostic Radiology | 
| Location | 6119 W Jefferson Blvd, Fort Wayne, Indiana | 
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1487625653 | NPI | - | NPPES | 
| 100348560 | Medicaid | IN | |
| 300077574 | Other | IN | MEDICARE RAILROAD | 
| 0787260 | Medicaid | OH | |
| 300016185 | Other | IN | MEDICARE RAILROAD | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 01033743 (Indiana) | Primary | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Diane Dierdre Daly, MD 6119 W Jefferson Blvd, Fort Wayne, IN 46804-3072 Ph: (260) 432-1568 | Dr Diane Dierdre Daly, MD 6119 W Jefferson Blvd, Fort Wayne, IN 46804-3072 Ph: (260) 432-1568 | 
| Dr. Benjamin Jon Moreno, MD, PHD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3707 New Vision Dr Ste 110, Fort Wayne, IN 46845 Phone: 260-469-6602 Fax: 260-484-5919 | |
| Dr. Andre Byard Stovall, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 5001 Us Highway 30 W Ste D, Fort Wayne, IN 46818 Phone: 260-432-1568 Fax: 260-432-4969 | |
| Dr. Christopher Edson Carrel, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3707 New Vision Dr, Fort Wayne, IN 46845 Phone: 604-696-6022 Fax: 616-363-7290 | |
| Dr. Gregg R Mattison, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 3707 New Vision Drive, Fort Wayne, IN 46895 Phone: 260-471-9466 Fax: 260-484-5919 | |
| Christopher M Wing, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3707 New Vision Dr, Fort Wayne, IN 46845 Phone: 260-471-9466 Fax: 260-484-5919 | |
| Dr. Ahdy Messiha, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 7950 W Jefferson Blvd, Fort Wayne, IN 46804 Phone: 260-432-1568 Fax: 260-432-4969 | |
| Vivek K. Sharma, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 5001 Us Highway 30 W Ste D, Fort Wayne, IN 46818 Phone: 260-432-1568 Fax: 260-432-4969 |