Provider Demographics
NPI:1497793673
Name:HOWARD, DANIEL RAY (MD)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:RAY
Last Name:HOWARD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1714 EUTAW PL
Mailing Address - Street 2:SUITE 2A
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21217-3730
Mailing Address - Country:US
Mailing Address - Phone:410-779-9609
Mailing Address - Fax:443-552-4758
Practice Address - Street 1:405 N PACA ST
Practice Address - Street 2:FIRST FLOOR
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21201-1815
Practice Address - Country:US
Practice Address - Phone:410-779-9609
Practice Address - Fax:443-552-4758
Is Sole Proprietor?:No
Enumeration Date:2006-06-02
Last Update Date:2022-11-10
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MDD43386207QA0505X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
03258OtherAMERIGROUP
MD760161100Medicaid
0101354OtherUNITED HEALTHCARE
MD52576707OtherBCBS MD
0508165OtherAETNA
080177553OtherRR MEDICARE
MD675M203FMedicare PIN
F39761Medicare UPIN