Healthcare Provider Details

I. General information

NPI: 1225124332
Provider Name (Legal Business Name): DANIEL EIN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/05/2006
Last Update Date: 06/27/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2300 M ST NW SUITE 200
WASHINGTON DC
20037-1434
US

IV. Provider business mailing address

2150 PENNSYLVANIA AVE NW DEPT. OF MEDICINE
WASHINGTON DC
20037-3201
US

V. Phone/Fax

Practice location:
  • Phone: 202-741-2770
  • Fax:
Mailing address:
  • Phone: 202-741-3333
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207K00000X
TaxonomyAllergy & Immunology Physician
License NumberMD5252
License Number StateDC
# 2
Primary TaxonomyN
Taxonomy Code207K00000X
TaxonomyAllergy & Immunology Physician
License NumberD003742
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: