Provider Demographics
NPI:1982800330
Name:EUGENE T DANKO MD LTD
Entity Type:Organization
Organization Name:EUGENE T DANKO MD LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:EUGENE
Authorized Official - Middle Name:THOMAS
Authorized Official - Last Name:DANKO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:412-741-3390
Mailing Address - Street 1:503 VALHALLA DR
Mailing Address - Street 2:
Mailing Address - City:SEWICKLEY
Mailing Address - State:PA
Mailing Address - Zip Code:15143-9335
Mailing Address - Country:US
Mailing Address - Phone:412-741-3390
Mailing Address - Fax:
Practice Address - Street 1:890 BEAVER GRADE RD
Practice Address - Street 2:
Practice Address - City:MOON TOWNSHIP
Practice Address - State:PA
Practice Address - Zip Code:15108-2653
Practice Address - Country:US
Practice Address - Phone:412-269-9995
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-22
Last Update Date:2008-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD029049L2085R0204X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0204XAllopathic & Osteopathic PhysiciansRadiologyVascular & Interventional RadiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0653025Medicaid
PAC27205Medicare UPIN
PA0653025Medicaid