MEDICARE: DANIEL L PIKA PA.C

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	363AM0700X	Medical Physician Assistant	1028016	MD

General Provider Information

NPI Number	:	1710902325
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANIEL L PIKA PA.C

Provider Business Mailing Address
First Line	:	2970 DEDE RD
Second Line	:	SUITE 4
City	:	FINKSBURG
State	:	MD
Zip	:	21048-2340
Country	:	US
Telephone Number	:	410-861-8960
Fax Number	:

Provider Business Practice Location Address
First Line	:	444 WMC DR STE 100
Second Line	:
City	:	WESTMINSTER
State	:	MD
Zip	:	21158-4337
Country	:	US
Telephone Number	:	410-751-2595
Fax Number	:	410-751-2593

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

Provider Enumeration Date	:	07/13/2006
Last Update Date	:	04/26/2024

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