Provider Demographics
NPI:1902825755
Name:PERLIN, DANIEL ISAAC (MD)
Entity Type:Individual
Prefix:
First Name:DANIEL
Middle Name:ISAAC
Last Name:PERLIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:11510 GEORGIA AVE
Mailing Address - Street 2:SUITE 206
Mailing Address - City:WHEATON
Mailing Address - State:MD
Mailing Address - Zip Code:20902-1925
Mailing Address - Country:US
Mailing Address - Phone:301-946-5100
Mailing Address - Fax:301-929-0348
Practice Address - Street 1:110 IRVING ST NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20010-2976
Practice Address - Country:US
Practice Address - Phone:301-946-5100
Practice Address - Fax:301-929-0348
Is Sole Proprietor?:No
Enumeration Date:2006-07-19
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCMD22190207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC501341OtherNCPPO
DC5379981002OtherCIGNA HMO
VA5704812Medicaid
DC2495265OtherAETNA HMO
DC0077OtherCAREFIRST BCBS
DC5107590OtherAETNA NON HMO
VA441048OtherANTHEM BCBS
DC200118OtherKAISER
DC5379981002OtherCIGNA HMO
VA5704812Medicaid