Provider Demographics
NPI:1619918364
Name:DANIELS, TONI DENISE (MD)
Entity Type:Individual
Prefix:DR
First Name:TONI
Middle Name:DENISE
Last Name:DANIELS
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:2342 SHATTUCK AVE
Mailing Address - Street 2:1430 13TH AVE
Mailing Address - City:BERKELEY
Mailing Address - State:CA
Mailing Address - Zip Code:94704-1517
Mailing Address - Country:US
Mailing Address - Phone:510-755-7574
Mailing Address - Fax:510-698-6414
Practice Address - Street 1:1430 13TH AVENUE
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94606-1912
Practice Address - Country:US
Practice Address - Phone:510-755-7574
Practice Address - Fax:510-698-6414
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-10
Last Update Date:2011-03-04
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA34345207LP3000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP3000XAllopathic & Osteopathic PhysiciansAnesthesiologyPediatric Anesthesiology