Provider Demographics
NPI:1346399235
Name:DANIKAS, DIMITRIOS (MD)
Entity Type:Individual
Prefix:DR
First Name:DIMITRIOS
Middle Name:
Last Name:DANIKAS
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:PO BOX 432
Mailing Address - Street 2:
Mailing Address - City:PIKEVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:41502-0432
Mailing Address - Country:US
Mailing Address - Phone:606-430-2210
Mailing Address - Fax:606-432-2404
Practice Address - Street 1:911 BYPASS RD BLDG C
Practice Address - Street 2:
Practice Address - City:PIKEVILLE
Practice Address - State:KY
Practice Address - Zip Code:41501-1689
Practice Address - Country:US
Practice Address - Phone:606-430-2210
Practice Address - Fax:606-432-2404
Is Sole Proprietor?:No
Enumeration Date:2007-01-09
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY47742208200000X, 208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
DEDR-0006726OtherDE CSR
DEC1-0008933OtherPROF LIS
KY7100320350Medicaid
KY7100320350Medicaid
BD9307770OtherDEA