Provider Demographics
NPI:1407881345
Name:BARAM, DANIEL (MD)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:
Last Name:BARAM
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 1:2150 PENNSYLVANIA AVE NW STE 416
Mailing Address - Street 2:GW MFA, DEPARTMENT OF MEDICINE
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20037
Mailing Address - Country:US
Mailing Address - Phone:202-741-2233
Mailing Address - Fax:202-741-2637
Practice Address - Street 1:2150 PENNSYLVANIA AVE NW STE 416
Practice Address - Street 2:GW MFA, DEPARTMENT OF MEDICINE
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20037
Practice Address - Country:US
Practice Address - Phone:202-741-2233
Practice Address - Fax:202-741-2637
Is Sole Proprietor?:No
Enumeration Date:2006-07-11
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCMD045639207RP1001X
NY188779207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY7V8291OtherEMPIRE BC.BS
NY5882662OtherAETNA
DCMD045639OtherLICENSE NUMBER
NY01831745Medicaid
NY01831745Medicaid
NY60H041Medicare ID - Type Unspecified