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NPI Code Detail

MEDICARE: DR. DAVID CHRISTOPHER DANISH D.O.

MEDICARE: DR. DAVID CHRISTOPHER DANISH D.O.
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
12083A0100XAerospace Medicine Physician20A 8288CA
2207P00000XEmergency Medicine Physician20A 8288CA

General Provider Information

NPI Number : 1861466948
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DAVID CHRISTOPHER DANISH D.O.
Provider Business Mailing Address
First Line : 1758 KILLDEER CT
Second Line :
City : SUNNYVALE
State : CA
Zip : 94087-4821
Country : US
Telephone Number : 408-253-0627
Fax Number : 408-253-0627
Provider Business Practice Location Address
First Line : 1555 SOQUEL DR
Second Line : ATTN: MEDICAL CREDENTIALLING DEPARTMENT
City : SANTA CRUZ
State : CA
Zip : 95065-1705
Country : US
Telephone Number : 831-462-7509
Fax Number : 415-591-2417
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/15/2006
Last Update Date : 04/26/2010

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