Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Timothy L Davis, MDPHD

Individual provider Diagnostic Radiology Physician · NPI 1710977566

Dr. Timothy L Davis, MDPHD is a Diagnostic Radiology in Indianapolis, Indiana. Graduated from Harvard Medical School in 1996, 30 years ago. Practices with Radiology Associates of San Luis Obispo a Medical Group Inc, a 56-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
30
Trained at
Harvard Medical School
Licensed in
IN
In the registry since
2005
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Practice location Address checks out

5901 Technology Center Dr
Indianapolis, IN 46278-6013
Phone: (317) 328-5050
Fax: (317) 715-9965
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 01053844A (IN)

Record details

NPI number1710977566
Entity typeIndividual (Type 1)
GenderMale
Credentials MDPHD
Sole proprietorNo
NPI enumeratedOctober 24, 2005
Last updated in NPPESMarch 18, 2014
Mailing address5901 Technology Center Dr, Indianapolis, IN 46278-6013

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolHARVARD MEDICAL SCHOOL
Graduated 1996 (30 years in practice)
Group practice Radiology Associates Of San Luis Obispo A Medical Group Inc — 56 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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