Provider Demographics
NPI:1891723045
Name:MCCABE, DANIEL P (MD)
Entity type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:P
Last Name:MCCABE
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:PO BOX 13627
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85732-3627
Mailing Address - Country:US
Mailing Address - Phone:520-795-5845
Mailing Address - Fax:520-795-8620
Practice Address - Street 1:1951 N WILMOT RD
Practice Address - Street 2:BUILDING 2
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85712-8000
Practice Address - Country:US
Practice Address - Phone:520-795-5845
Practice Address - Fax:520-795-8620
Is Sole Proprietor?:No
Enumeration Date:2006-06-28
Last Update Date:2010-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ27455208600000X, 2086X0206X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086X0206XAllopathic & Osteopathic PhysiciansSurgerySurgical Oncology
No208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ101112OtherPACIFICARE
AZ464321-03OtherAHCCCS
AZ203604285OtherUNITED
AZAZ0153450OtherBCBS
AZ2Z3323OtherHEALTH NET
AZ107589Medicare ID - Type Unspecified
AZ2Z3323OtherHEALTH NET