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1326049727

NPI Code Detail

MEDICARE: DR. DANIEL D. DO-DAI M.D.

MEDICARE: DR. DANIEL D. DO-DAI 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
1	2085N0700X	Neuroradiology Physician	156989	MA
2	2085R0202X	Diagnostic Radiology Physician	156989	MA
3	2085R0202X	Diagnostic Radiology Physician	4301508148	MI

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
5	300127902	OTHER		PGBA (RR MEDICARE)

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	384981	OTHER	VA	ANTHEM BCBS
3	4031375	OTHER	TN	BC BS
4	R06903	OTHER	TN	JOHN DEERE
6	0032350	OTHER	MA	NEIGHBORHOOD HEALTH PLAN
7	34296	OTHER	MA	HEALTH NEW ENGLAND
8	96512201	OTHER	MA	NETWORK HEALTH
9	FALLON	OTHER	MA	116562
10	622209UMAS	OTHER	MA	HARVARD PILGRIM HEALTHCAR
11	009745	OTHER	MA	TUFTS HEALTH PLAN
12	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
13	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
14	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
15	J40342	OTHER	MA	BLUE CROSS & BLUE SHIELD

General Provider Information

NPI Number	:	1326049727
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DANIEL D. DO-DAI M.D.

Provider Business Mailing Address
First Line	:	3264 N EVERGREEN DR NE
Second Line	:
City	:	GRAND RAPIDS
State	:	MI
Zip	:	49525-9746
Country	:	US
Telephone Number	:	616-363-7272
Fax Number	:	616-361-5828

Provider Business Practice Location Address
First Line	:	3264 N EVERGREEN DR NE
Second Line	:
City	:	GRAND RAPIDS
State	:	MI
Zip	:	49525-9746
Country	:	US
Telephone Number	:	616-363-7272
Fax Number	:	616-361-5828

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/09/2005
Last Update Date	:	11/26/2024

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Directions to “ DR. DANIEL D. DO-DAI M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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