Individual
DANIEL GONCALVES DAJUSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
555 S 18TH ST, COLUMBUS, OH 43205-2654
(614) 722-6200
Mailing address
700 CHILDRENS DR, COLUMBUS, OH 43205-2664
(614) 722-2000
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
35123696
OH
2088P0231X
Pediatric Urology Physician
Primary
35123696
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0106231
—
OH
05
—
7100171090
—
KY
Enumeration date
10/04/2007
Last updated
04/29/2026
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