Provider Demographics
NPI:1063455178
Name:MIGA, DANIEL E (MD)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:E
Last Name:MIGA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:1432 S DOBSON RD STE 512
Mailing Address - Street 2:
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85202-4778
Mailing Address - Country:US
Mailing Address - Phone:480-412-6336
Mailing Address - Fax:480-412-8013
Practice Address - Street 1:1432 S DOBSON RD STE 512
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85202-4778
Practice Address - Country:US
Practice Address - Phone:480-412-6336
Practice Address - Fax:480-412-8013
Is Sole Proprietor?:No
Enumeration Date:2006-06-14
Last Update Date:2020-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ503412080P0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0202XAllopathic & Osteopathic PhysiciansPediatricsPediatric Cardiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02103208Medicaid
CC6255Medicare ID - Type Unspecified
F89433Medicare UPIN