Healthcare Provider Details

I. General information

NPI: 1306387584
Provider Name (Legal Business Name): DANIEL ADAM YANES MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/20/2017
Last Update Date: 07/05/2026
Certification Date: 07/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5530 WISCONSIN AVE STE 925
BETHESDA MD
20815-4308
US

IV. Provider business mailing address

5530 WISCONSIN AVE STE 925
BETHESDA MD
20815-4308
US

V. Phone/Fax

Practice location:
  • Phone: 571-412-1818
  • Fax: 202-838-0625
Mailing address:
  • Phone: 571-412-1818
  • Fax: 202-838-0625

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License Number274936
License Number StateMA
# 2
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License NumberD0106987
License Number StateMD
# 3
Primary TaxonomyN
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License NumberMD210002140
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: