Provider Demographics
NPI:1205830684
Name:PARA, DANIEL J (MD)
Entity Type:Individual
Prefix:
First Name:DANIEL
Middle Name:J
Last Name:PARA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:9515 W CAMELBACK RD
Mailing Address - Street 2:SUITE 132
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85037-1355
Mailing Address - Country:US
Mailing Address - Phone:623-247-4900
Mailing Address - Fax:623-247-4908
Practice Address - Street 1:9515 W CAMELBACK RD
Practice Address - Street 2:SUITE 132
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85037-1355
Practice Address - Country:US
Practice Address - Phone:623-247-4900
Practice Address - Fax:623-247-4908
Is Sole Proprietor?:No
Enumeration Date:2005-06-13
Last Update Date:2022-06-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
ARE-15280208600000X
AZ022450208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ0060824OtherHEALTHNET
AZ434655OtherAHCCCS
AZAZ0831130OtherBC/BS
AZ6542961003OtherCIGNA
AZ020040856OtherMEDICARE RAILROAD
AZAZ0831130OtherBC/BS
AZ6542961003OtherCIGNA
AZ0060824OtherHEALTHNET