Healthcare Provider Details

I. General information

NPI: 1275162232
Provider Name (Legal Business Name): MUHAMMAD DANIAL DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/02/2020
Last Update Date: 05/27/2026
Certification Date: 05/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1945 STATE ROUTE 33
NEPTUNE NJ
07753-4859
US

IV. Provider business mailing address

4410 WESTHEIMER RD APT 2307B
HOUSTON TX
77027-1804
US

V. Phone/Fax

Practice location:
  • Phone: 732-775-5500
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License NumberBP10091860
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: