Healthcare Provider Details

I. General information

NPI: 1841261518
Provider Name (Legal Business Name): DANIEL VINCENT CORDARO MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/30/2006
Last Update Date: 03/19/2025
Certification Date: 03/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11100 EUCLID AVE
CLEVELAND OH
44106-1716
US

IV. Provider business mailing address

8710 CAMERON ST UNIT 1216
SILVER SPRING MD
20910-3767
US

V. Phone/Fax

Practice location:
  • Phone: 216-286-7562
  • Fax:
Mailing address:
  • Phone: 240-498-7783
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207ZP0102X
TaxonomyAnatomic Pathology & Clinical Pathology Physician
License Number0101237431
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code207ZH0000X
TaxonomyHematology (Pathology) Physician
License Number0101237431
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: