Provider Demographics
NPI:1184622482
Name:DAVIDOW, DANIEL NELSON (MD)
Entity type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:NELSON
Last Name:DAVIDOW
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:202 WESTHAM PKWY
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23229-7431
Mailing Address - Country:US
Mailing Address - Phone:804-966-2242
Mailing Address - Fax:804-966-5639
Practice Address - Street 1:9407 CUMBERLAND RD
Practice Address - Street 2:
Practice Address - City:NEW KENT
Practice Address - State:VA
Practice Address - Zip Code:23124-2029
Practice Address - Country:US
Practice Address - Phone:804-966-2242
Practice Address - Fax:804-966-5639
Is Sole Proprietor?:No
Enumeration Date:2005-07-11
Last Update Date:2009-10-26
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
VAVA01010342112080A0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080A0000XAllopathic & Osteopathic PhysiciansPediatricsAdolescent Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAD98522Medicare UPIN