Provider Demographics
NPI:1316203532
Name:O'MARA, DANIEL MORRIS (MD)
Entity Type:Individual
Prefix:
First Name:DANIEL
Middle Name:MORRIS
Last Name:O'MARA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:601 N CAROLINE ST RM 5168
Mailing Address - Street 2:THE JOHNS HOPKINS HOSPITAL, DEPARTMENT OF RADIOLOGY
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21287-0006
Mailing Address - Country:US
Mailing Address - Phone:443-287-2917
Mailing Address - Fax:
Practice Address - Street 1:345 COMMERCIAL DR
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31406-3606
Practice Address - Country:US
Practice Address - Phone:912-356-9222
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-02
Last Update Date:2023-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA800202085R0204X
GA0800202085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
No2085R0204XAllopathic & Osteopathic PhysiciansRadiologyVascular & Interventional Radiology