MEDICARE: DANELVIS PAREDES MD

Medicare Provider Information

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084N0400X	Neurology Physician	2024039224	MO
2	2084N0400X	Neurology Physician	24458	PR
3	2084N0400X	Neurology Physician	MD221771	OR
4	2084N0400X	Neurology Physician	A188606	CA
5	208M00000X	Hospitalist Physician	ME170367	FL
6	2084N0400X	Neurology Physician	35C.001824	OH
7	2084N0400X	Neurology Physician	99477	GA
8	2084N0400X	Neurology Physician	MD61600193	WA
9	2084N0400X	Neurology Physician	V3517	TX

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

NPI Number	:	1326562257
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANELVIS PAREDES MD

Provider Business Mailing Address
First Line	:	PO BOX 742616
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30374-2616
Country	:	US
Telephone Number	:	770-219-8420
Fax Number	:

Provider Business Practice Location Address
First Line	:	743 SPRING ST NE
Second Line	:
City	:	GAINESVILLE
State	:	GA
Zip	:	30501-3715
Country	:	US
Telephone Number	:	770-219-2627
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/02/2017
Last Update Date	:	06/05/2026

743 SPRING ST NE STE 710
GAINESVILLE, GA
30501-3715

Practice Phone: 770-219-8730
Practice Fax: