Provider Demographics
NPI:1699752550
Name:JANIAK, DANIEL D (DO)
Entity type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:D
Last Name:JANIAK
Suffix:
Gender:M
Credentials:DO
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Other - Credentials:
Mailing Address - Street 1:1 WALSH RD
Mailing Address - Street 2:CRAFTON-INGRAM SHOPPING CENTER
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15205-2336
Mailing Address - Country:US
Mailing Address - Phone:412-922-3773
Mailing Address - Fax:412-922-6093
Practice Address - Street 1:1 WALSH RD
Practice Address - Street 2:CRAFTON-INGRAM SHOPPING CENTER
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15205-2336
Practice Address - Country:US
Practice Address - Phone:412-922-3773
Practice Address - Fax:412-922-6093
Is Sole Proprietor?:No
Enumeration Date:2005-12-30
Last Update Date:2020-10-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAOS003284L207QG0300X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No207QG0300XAllopathic & Osteopathic PhysiciansFamily MedicineGeriatric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0005982370002Medicaid
PA160541NHMMedicare PIN
PAC32332Medicare UPIN