Provider Demographics
NPI:1598762288
Name:DANOS, GARY J (MD)
Entity Type:Individual
Prefix:DR
First Name:GARY
Middle Name:J
Last Name:DANOS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:1929 PALMER AVE
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70118-6217
Mailing Address - Country:US
Mailing Address - Phone:504-897-7272
Mailing Address - Fax:504-897-7077
Practice Address - Street 1:3434 PRYTANIA ST
Practice Address - Street 2:SUITE 420
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70115-3532
Practice Address - Country:US
Practice Address - Phone:504-897-7272
Practice Address - Fax:504-897-7077
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-07
Last Update Date:2007-10-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
LA011688208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA690640OtherAETNA ID
LA1161926Medicaid
LA51780CT89Medicare PIN
LA1161926Medicaid