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Individual
DR. DANIEL CARRILLO MALDONADO
Active
Individual
DR. DANIEL CARRILLO MALDONADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A74326
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A743260
BLUE SHIELD
CA
05
—
00A743260
—
CA
01
—
P00017937
MEDICARE RAILROAD
GA
Enumeration date
05/18/2006
Last updated
01/11/2018
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