Individual
MR. DANIEL SHIFERAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
7600 CARROLL AVE, TAKOMA PARK, MD 20912-6367
(301) 891-7600
Mailing address
6201 GREENLEIGH AVE FL 2, MIDDLE RIVER, MD 21220-2004
(410) 933-2704
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C0002496
MD
363AS0400X
Surgical Physician Assistant
C02496
MD
363AS0400X
Surgical Physician Assistant
PA30168
DC
Other
Enumeration date
02/05/2007
Last updated
08/01/2024
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