Provider Demographics
NPI:1891139804
Name:GANEA, DANIEL (MD)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:
Last Name:GANEA
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:GHEORGHE ASACHI 2
Mailing Address - Street 2:BL 2 AP 12
Mailing Address - City:FOCSANI
Mailing Address - State:VRANCEA
Mailing Address - Zip Code:620009
Mailing Address - Country:RO
Mailing Address - Phone:4074-421-7291
Mailing Address - Fax:
Practice Address - Street 1:GHEORGHE ASACHI 2
Practice Address - Street 2:BL 2 AP 12
Practice Address - City:FOCSANI
Practice Address - State:VRANCEA
Practice Address - Zip Code:620009
Practice Address - Country:RO
Practice Address - Phone:4074-421-7291
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-21
Last Update Date:2013-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ZZG00159954174H00000X
ZZB12-24/1207Q00000X
ZZ7168209207Q00000X
ZZH00053882085R0202X
ZZE0102461246Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No174H00000XOther Service ProvidersHealth Educator
No2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
No246Z00000XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, Other