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NPI Code Detail

MEDICARE: DANIEL DANIELS M.D.

MEDICARE:   DANIEL  DANIELS  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine PhysicianD66830MD
2207RG0100XGastroenterology PhysicianD0066830MD

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1D66830OTHERMDSTATE LICENSE
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1174631352
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANIEL DANIELS M.D.
Provider Business Mailing Address
First Line : 400 W 7TH ST
Second Line :
City : FREDERICK
State : MD
Zip : 21701-4506
Country : US
Telephone Number : 240-643-6070
Fax Number :
Provider Business Practice Location Address
First Line : 194 THOMAS JOHNSON DR
Second Line :
City : FREDERICK
State : MD
Zip : 21702-4679
Country : US
Telephone Number : 240-575-2526
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/28/2006
Last Update Date : 07/05/2022

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