Provider Demographics
NPI:1912936915
Name:SYPEK, DARIUS S (MD)
Entity Type:Individual
Prefix:
First Name:DARIUS
Middle Name:S
Last Name:SYPEK
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 1:10548 CHESTNUT LN
Mailing Address - Street 2:
Mailing Address - City:SEAFORD
Mailing Address - State:DE
Mailing Address - Zip Code:19973
Mailing Address - Country:US
Mailing Address - Phone:302-628-9541
Mailing Address - Fax:
Practice Address - Street 1:1350 MIDDLEFORD RD
Practice Address - Street 2:STE 501
Practice Address - City:SEAFORD
Practice Address - State:DE
Practice Address - Zip Code:19973
Practice Address - Country:US
Practice Address - Phone:302-628-4370
Practice Address - Fax:302-628-4373
Is Sole Proprietor?:No
Enumeration Date:2006-07-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEC10003229207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE0000059301Medicaid
DE0000059301Medicaid
E14894Medicare UPIN