Healthcare Provider Details

I. General information

NPI: 1295716843
Provider Name (Legal Business Name): DANILO VICTORIA SANTOS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/10/2005
Last Update Date: 08/09/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7600 OSLER DR STE 213
TOWSON MD
21204-7701
US

IV. Provider business mailing address

7600 OSLER DR STE 213
TOWSON MD
21204-7701
US

V. Phone/Fax

Practice location:
  • Phone: 410-321-5427
  • Fax: 410-321-5428
Mailing address:
  • Phone: 410-321-5427
  • Fax: 410-321-5428

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License NumberD12756
License Number StateMD

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: