MEDICARE: DR. DAOUD F DAJANI MD

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
1	208800000X	Urology Physician	A134374	CA
2	208800000X	Urology Physician	MD042683	DC
3	208800000X	Urology Physician	0101259664	VA
4	390200000X	Student in an Organized Health Care Education/Training Program
5	208800000X	Urology Physician	D79005	MD

General Provider Information

NPI Number	:	1376786186
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAOUD F DAJANI MD

Provider Business Mailing Address
First Line	:	10200 GRAND CENTRAL AVE STE 220
Second Line	:
City	:	OWINGS MILLS
State	:	MD
Zip	:	21117-4366
Country	:	US
Telephone Number	:	410-581-1600
Fax Number	:

Provider Business Practice Location Address
First Line	:	950 HARRY S TRUMAN DR N FL 5
Second Line	:
City	:	LARGO
State	:	MD
Zip	:	20774-5485
Country	:	US
Telephone Number	:	301-321-1122
Fax Number	:

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

Provider Enumeration Date	:	04/08/2009
Last Update Date	:	05/27/2025

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Directions to “ DR. DAOUD F DAJANI MD” Practice Location

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