Provider Demographics
NPI:1740256411
Name:PERRY, DANNY L (MD)
Entity type:Individual
Prefix:DR
First Name:DANNY
Middle Name:L
Last Name:PERRY
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:PO BOX 1430
Mailing Address - Street 2:
Mailing Address - City:HARRISONBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22803-1430
Mailing Address - Country:US
Mailing Address - Phone:540-743-9087
Mailing Address - Fax:757-579-8563
Practice Address - Street 1:134 GENERAL DR
Practice Address - Street 2:
Practice Address - City:LURAY
Practice Address - State:VA
Practice Address - Zip Code:22835-5257
Practice Address - Country:US
Practice Address - Phone:540-743-9087
Practice Address - Fax:757-579-8563
Is Sole Proprietor?:No
Enumeration Date:2006-02-23
Last Update Date:2019-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101024874207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA1740256411Medicaid
B05244Medicare UPIN
080005611Medicare ID - Type Unspecified
VA5623022Medicaid