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NPI Code Detail

MEDICARE: DANIEL R WHITE M.D.

MEDICARE: DANIEL R WHITE M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12085R0001XRadiation Oncology Physician35058268NY
22085R0001XRadiation Oncology Physician35-058268OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1205877578
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANIEL R WHITE M.D.
Provider Business Mailing Address
First Line : 5520 CHEVIOT ROAD
Second Line :
City : CINCINNATI
State : OH
Zip : 45247-7069
Country : US
Telephone Number : 513-451-4033
Fax Number : 513-451-4118
Provider Business Practice Location Address
First Line : 2452 KIPLING AVENUE
Second Line :
City : CINCINNATI
State : OH
Zip : 45239-6650
Country : US
Telephone Number : 513-681-7800
Fax Number : 513-853-3045
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/09/2006
Last Update Date : 05/12/2010

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