Provider Demographics
NPI:1871732859
Name:DURANY, NILDA E (MD)
Entity type:Individual
Prefix:DR
First Name:NILDA
Middle Name:E
Last Name:DURANY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2640 HAMSTROM RD
Mailing Address - Street 2:
Mailing Address - City:PORTAGE
Mailing Address - State:IN
Mailing Address - Zip Code:46368-3832
Mailing Address - Country:US
Mailing Address - Phone:219-762-4423
Mailing Address - Fax:219-763-3120
Practice Address - Street 1:311 E CLIFTY DR
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:IN
Practice Address - Zip Code:47250-4621
Practice Address - Country:US
Practice Address - Phone:812-274-2742
Practice Address - Fax:502-222-0029
Is Sole Proprietor?:No
Enumeration Date:2009-02-13
Last Update Date:2021-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01029781A208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice