Provider Demographics
NPI:1760426621
Name:DANKO, EUGENE THOMAS (MD)
Entity Type:Individual
Prefix:
First Name:EUGENE
Middle Name:THOMAS
Last Name:DANKO
Suffix:
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 1:503 VALHALLA DR
Mailing Address - Street 2:
Mailing Address - City:SEWICKLEY
Mailing Address - State:PA
Mailing Address - Zip Code:15143-9335
Mailing Address - Country:US
Mailing Address - Phone:412-741-3390
Mailing Address - Fax:
Practice Address - Street 1:400 LOCUST AVE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:PA
Practice Address - Zip Code:15301-3329
Practice Address - Country:US
Practice Address - Phone:724-222-9300
Practice Address - Fax:724-222-9246
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-15
Last Update Date:2008-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD029049L2085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA016935KXJOtherWEST HILLS
PAC07205Medicare UPIN
PA016935Medicare ID - Type Unspecified