Healthcare Provider Details

I. General information

NPI: 1740375690
Provider Name (Legal Business Name): DANIEL A LEUNG M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/04/2006
Last Update Date: 11/18/2023
Certification Date: 11/18/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4755 OGLETOWN STANTON RD SUITE 1E20
NEWARK DE
19718-2200
US

IV. Provider business mailing address

4755 OGLETOWN STANTON RD SUITE 1E20
NEWARK DE
19718-2200
US

V. Phone/Fax

Practice location:
  • Phone: 302-733-1806
  • Fax: 302-733-5665
Mailing address:
  • Phone: 302-733-1806
  • Fax: 302-733-5665

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License NumberC1-0008883
License Number StateDE
# 2
Primary TaxonomyN
Taxonomy Code2085R0204X
TaxonomyVascular & Interventional Radiology Physician
License Number0101037410
License Number StateVA
# 3
Primary TaxonomyY
Taxonomy Code2085R0204X
TaxonomyVascular & Interventional Radiology Physician
License NumberC1-0008883
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: