Healthcare Provider Details

I. General information

NPI: 1083292783
Provider Name (Legal Business Name): DANIEL HYMAN DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/01/2021
Last Update Date: 06/05/2025
Certification Date: 06/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4240 MUNSON ST NW STE C
CANTON OH
44718-2978
US

IV. Provider business mailing address

29111 CEDAR RD
MAYFIELD HEIGHTS OH
44124-4005
US

V. Phone/Fax

Practice location:
  • Phone: 330-492-2327
  • Fax: 330-492-0953
Mailing address:
  • Phone: 440-646-1600
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License Number34.017360
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: