Provider Demographics
NPI:1518946870
Name:MCNEILL, DANIEL HUGH JR (MD)
Entity Type:Individual
Prefix:
First Name:DANIEL
Middle Name:HUGH
Last Name:MCNEILL
Suffix:JR
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 1:7809 JEFFERSON HWY STE B2
Mailing Address - Street 2:STE B2
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70809-1200
Mailing Address - Country:US
Mailing Address - Phone:225-926-8686
Mailing Address - Fax:225-926-8677
Practice Address - Street 1:5000 HENNESSY BLVD
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70809
Practice Address - Country:US
Practice Address - Phone:225-926-8686
Practice Address - Fax:225-926-8677
Is Sole Proprietor?:No
Enumeration Date:2006-01-13
Last Update Date:2010-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA06272R2085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1341886Medicaid
B61715Medicare UPIN
LA1341886Medicaid