Provider Demographics
NPI:1538114210
Name:PAKNIA, DANIEL (DPM)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:
Last Name:PAKNIA
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 76
Mailing Address - Street 2:
Mailing Address - City:HATFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01038-0076
Mailing Address - Country:US
Mailing Address - Phone:413-219-9813
Mailing Address - Fax:
Practice Address - Street 1:10 WEST ST
Practice Address - Street 2:SUITE 7
Practice Address - City:WEST HATFIELD
Practice Address - State:MA
Practice Address - Zip Code:01088-9554
Practice Address - Country:US
Practice Address - Phone:413-397-8900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-23
Last Update Date:2020-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2307213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAAA60204OtherHARVARD PILGRIM HEALTH
MA117854OtherFALLON HEALTH PLAN
MA000000035834OtherHEALTHNET PLAN
MA020307OtherCONNECTICARE
MAY71132OtherBLUE SHIELD OF MA
MA0711535Medicaid
MA494687OtherTUFTS HEALTH PLAN
MA38291OtherHEALTH NEW ENGLAND
MAP00348691Medicare PIN
MA494687OtherTUFTS HEALTH PLAN
MA38291OtherHEALTH NEW ENGLAND