Healthcare Provider Details

I. General information

NPI: 1992903512
Provider Name (Legal Business Name): DAVID M DANISH MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/05/2007
Last Update Date: 02/15/2024
Certification Date: 02/15/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 W LANCASTER AVE
DEVON PA
19333-1531
US

IV. Provider business mailing address

400 W LANCASTER AVE
DEVON PA
19333-1531
US

V. Phone/Fax

Practice location:
  • Phone: 610-999-6414
  • Fax: 888-960-2779
Mailing address:
  • Phone: 610-999-6414
  • Fax: 888-960-2779

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License NumberMD438014
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberMD438014
License Number StatePA

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: