Provider Demographics
NPI:1437140571
Name:JANYJA, DANIEL K (MD)
Entity Type:Individual
Prefix:
First Name:DANIEL
Middle Name:K
Last Name:JANYJA
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 1:4520 WINDY GAP DR
Mailing Address - Street 2:
Mailing Address - City:ROANOKE
Mailing Address - State:VA
Mailing Address - Zip Code:24014-6142
Mailing Address - Country:US
Mailing Address - Phone:540-676-7407
Mailing Address - Fax:
Practice Address - Street 1:4520 WINDY GAP DR
Practice Address - Street 2:
Practice Address - City:ROANOKE
Practice Address - State:VA
Practice Address - Zip Code:24014-6142
Practice Address - Country:US
Practice Address - Phone:540-676-7407
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-10-28
Last Update Date:2023-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD473814207L00000X
FLME80906207L00000X
NC2016-01826207L00000X
VA0101260653207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL259797700Medicaid
35914OtherBLUE CORSS/BLUE SHIELD
FL259797700Medicaid
35914XMedicare ID - Type Unspecified