Provider Demographics
NPI:1801878152
Name:HANDEL, DANIEL WILLIAM (MD)
Entity type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:WILLIAM
Last Name:HANDEL
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 1:551 EAST WASHINGTON STREET
Mailing Address - Street 2:CHAGRIN FALLS FAMILY HEALTH CENTER
Mailing Address - City:CHAGRIN FALLS
Mailing Address - State:OH
Mailing Address - Zip Code:44022-4403
Mailing Address - Country:US
Mailing Address - Phone:440-893-9393
Mailing Address - Fax:440-893-6255
Practice Address - Street 1:551 EAST WASHINGTON STREET
Practice Address - Street 2:CHAGRIN FALLS FAMILY HEALTH CENTER
Practice Address - City:CHAGRIN FALLS
Practice Address - State:OH
Practice Address - Zip Code:44022-4403
Practice Address - Country:US
Practice Address - Phone:440-893-9393
Practice Address - Fax:440-893-9393
Is Sole Proprietor?:No
Enumeration Date:2005-11-14
Last Update Date:2009-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35032735H207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0279210Medicaid
OH071531736OtherMEDICARE RAILROAD
OH000000128914OtherANTHEM PIN
OH9931221Medicare PIN
OHHA0412913Medicare ID - Type Unspecified
OH0279210Medicaid
OH000000128914OtherANTHEM PIN