Provider Demographics
NPI:1053501155
Name:WRIGHT, DANIEL GODWIN (MD)
Entity Type:Individual
Prefix:
First Name:DANIEL GODWIN
Middle Name:
Last Name:WRIGHT
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 1:5401 ILMER RD.
Mailing Address - Street 2:P.O.BOX 246
Mailing Address - City:ROYAL OAK
Mailing Address - State:MD
Mailing Address - Zip Code:21662
Mailing Address - Country:US
Mailing Address - Phone:301-594-7714
Mailing Address - Fax:
Practice Address - Street 1:10 CENTER DRIVE (MS1822)
Practice Address - Street 2:CLINICAL CENTER, BLD 10
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20892-0001
Practice Address - Country:US
Practice Address - Phone:301-594-7714
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-07-26
Last Update Date:2007-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA76743207RH0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0000XAllopathic & Osteopathic PhysiciansInternal MedicineHematology