Provider Demographics
NPI:1043262405
Name:MENEES, DANIEL STEPHAN (MD)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:STEPHAN
Last Name:MENEES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3621 S STATE ST
Mailing Address - Street 2:
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48108-1633
Mailing Address - Country:US
Mailing Address - Phone:734-647-5299
Mailing Address - Fax:
Practice Address - Street 1:1500 E MEDICAL CENTER DR
Practice Address - Street 2:
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48109-5000
Practice Address - Country:US
Practice Address - Phone:734-936-4000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-16
Last Update Date:2019-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301074659207R00000X, 207RC0000X, 207RI0011X
VA0101239925207RC0000X, 207RI0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAPAROtherFIRST HEALTH COMMERCIAL/SOUTHERN HEALTH/COVENTRY
5147065OtherUHC/MAMSI
VAPAROtherAETNA
VA010356466Medicaid
VAPAROtherVIRGINIA PREMIER HEALTH
VA1043262405Medicaid
NC5904689Medicaid
VAPAROtherCORVEL/CORCARE
VAPAROtherMULTIPLAN
VAPAROtherUSA MANAGED CARE
VAPAROtherCIGNA
VA-001OtherTRICARE/CHAMPUS
VA10010477OtherOPTIMA/SENTARA
VA10011410OtherSENTARA OPTIMA
VA198207OtherANTHEM BCBS
VA239700OtherANTHEM
NC04689OtherBC/BS
NC067YEOtherBCBS
VAPAROtherVIRGINIA HEALTH NETWORK
VAPAROtherVIRGINIA HEALTH NETWORK
VAPAROtherMULTIPLAN
VAPAROtherVIRGINIA PREMIER HEALTH
VAPAROtherCORVEL/CORCARE
5147065OtherUHC/MAMSI
MII56363Medicare UPIN