Healthcare Provider Details

I. General information

NPI: 1306136429
Provider Name (Legal Business Name): DANIEL PATRICK PAP MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/10/2011
Last Update Date: 04/15/2020
Certification Date: 04/15/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5040 FOREST DR STE 300
NEW ALBANY OH
43054-8166
US

IV. Provider business mailing address

793 W STATE ST
COLUMBUS OH
43222-1551
US

V. Phone/Fax

Practice location:
  • Phone: 614-890-6555
  • Fax: 614-523-7557
Mailing address:
  • Phone: 614-234-5180
  • Fax: 614-234-5171

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number35 127462
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code208VP0014X
TaxonomyInterventional Pain Medicine Physician
License Number35.127462
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: