Provider Demographics
NPI:1487786604
Name:HANGAN, DANIELA N (MD)
Entity type:Individual
Prefix:DR
First Name:DANIELA
Middle Name:N
Last Name:HANGAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10215 FERNWOOD RD STE 100
Mailing Address - Street 2:
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20817-1183
Mailing Address - Country:US
Mailing Address - Phone:301-493-6909
Mailing Address - Fax:301-493-9778
Practice Address - Street 1:10215 FERNWOOD RD STE 100
Practice Address - Street 2:
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20817-1183
Practice Address - Country:US
Practice Address - Phone:301-493-6909
Practice Address - Fax:301-493-9778
Is Sole Proprietor?:No
Enumeration Date:2007-03-12
Last Update Date:2020-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036121002207Q00000X
PAMD444004207Q00000X
WI50022207Q00000X
MDD86299207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL834340OtherMEDICARE GROUP #
IL834370OtherMEDICARE GROUP #
WI50022OtherLICENSE
IL553180OtherMEDICARE GROUP PTAN
IL553180021Medicare PIN
IL834370001Medicare PIN
IL834370OtherMEDICARE GROUP #