Provider Demographics
NPI:1265505192
Name:SHRAGER, DANIEL STEPHEN
Entity Type:Individual
Prefix:
First Name:DANIEL
Middle Name:STEPHEN
Last Name:SHRAGER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6315 FORBES AVE STE B-16
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15217-1700
Mailing Address - Country:US
Mailing Address - Phone:412-654-4546
Mailing Address - Fax:412-422-8807
Practice Address - Street 1:6315 FORBES AVE STE B016
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15217-1700
Practice Address - Country:US
Practice Address - Phone:412-654-4546
Practice Address - Fax:412-422-8807
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-16
Last Update Date:2024-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD011167E2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry