MEDICARE: DR. DAN LOTAN 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	207R00000X	Internal Medicine Physician	L5442	TX

Other Identifiers

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

General Provider Information

NPI Number	:	1801882923
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAN LOTAN MD

Provider Business Mailing Address
First Line	:	40 CYPRESS CREEK PKWY
Second Line	:	STE 137
City	:	HOUSTON
State	:	TX
Zip	:	77090-3530
Country	:	US
Telephone Number	:	832-476-3900
Fax Number	:

Provider Business Practice Location Address
First Line	:	2000 CRAWFORD
Second Line	:	SUITE 1350
City	:	HOUSTON
State	:	TX
Zip	:	77002-9008
Country	:	US
Telephone Number	:	713-650-0344
Fax Number	:	713-522-8271

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

Provider Enumeration Date	:	09/23/2005
Last Update Date	:	02/26/2021

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