Provider Demographics
NPI:1811034325
Name:POWERS, DANIEL (MD)
Entity Type:Individual
Prefix:
First Name:DANIEL
Middle Name:
Last Name:POWERS
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 1:6200 WILSHIRE BLVD STE1006
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90048-5811
Mailing Address - Country:US
Mailing Address - Phone:800-222-6768
Mailing Address - Fax:
Practice Address - Street 1:6200 WILSHIRE BLVD STE 1006
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90048-5811
Practice Address - Country:US
Practice Address - Phone:800-222-6768
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG344262085N0904X, 2085R0202X
MA720542085R0202X
OK171632085R0202X
NV60082085R0202X
NC00-386732085R0202X
ND58732085R0202X
TNMD-000209562085R0202X
WV160632085R0202X
AL150082085R0202X
AZ196132085R0202X
GA0326372085R0202X
FLME00748062085R0202X
HIMD-68802085R0202X
TXH74832085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered2085N0904XAllopathic & Osteopathic PhysiciansRadiologyNuclear Radiology
Not Answered2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology