MEDICARE: DANNY HALL 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
1	2085R0202X	Diagnostic Radiology Physician	32449	NY
2	2085N0904X	Nuclear Radiology Physician	25364	KY
3	2085R0202X	Diagnostic Radiology Physician	25364	KY
4	2085R0202X	Diagnostic Radiology Physician	163808	FL
5	2085B0100X	Body Imaging Physician	25364	KY
6	2085U0001X	Diagnostic Ultrasound Physician	25364	KY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	25364	OTHER	KY	KY MEDICAL LICENSE
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1891737904
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANNY HALL M.D

Provider Business Mailing Address
First Line	:	13333 NORTHWEST FWY STE 540
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77040-6166
Country	:	US
Telephone Number	:	800-708-9591
Fax Number	:	210-634-1286

Provider Business Practice Location Address
First Line	:	2700 UNIVERSITY SQUARE DR
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33612-5513
Country	:	US
Telephone Number	:	800-708-9591
Fax Number	:	210-634-1286

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

Provider Enumeration Date	:	06/12/2006
Last Update Date	:	12/10/2025

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