Provider Demographics
NPI:1508841537
Name:LINK, DANIEL PETER JR (MD FACR)
Entity Type:Individual
Prefix:
First Name:DANIEL
Middle Name:PETER
Last Name:LINK
Suffix:JR
Gender:M
Credentials:MD FACR
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Mailing Address - Street 1:10638 BIRCH RANCH DR
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95830-7001
Mailing Address - Country:US
Mailing Address - Phone:916-689-0227
Mailing Address - Fax:
Practice Address - Street 1:500 UNIVERSITY AVE STE 250
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95825-6525
Practice Address - Country:US
Practice Address - Phone:916-680-9510
Practice Address - Fax:916-680-9550
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-13
Last Update Date:2020-02-27
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAG186532086S0129X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
A40385Medicare UPIN