Individual
DR. DANIEL D. DO-DAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3264 N EVERGREEN DR NE, GRAND RAPIDS, MI 49525-9746
(616) 363-7272
(616) 361-5828
Mailing address
3264 N EVERGREEN DR NE, GRAND RAPIDS, MI 49525-9746
(616) 363-7272
(616) 361-5828
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
156989
MA
2085R0202X
Diagnostic Radiology Physician
156989
MA
2085R0202X
Diagnostic Radiology Physician
Primary
4301508148
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0032350
NEIGHBORHOOD HEALTH PLAN
MA
01
—
009745
TUFTS HEALTH PLAN
MA
05
—
2116936
—
MA
01
—
300127902
PGBA (RR MEDICARE)
—
01
—
34296
HEALTH NEW ENGLAND
MA
01
—
384981
ANTHEM BCBS
VA
05
—
3870323
—
TN
01
—
4031375
BC BS
TN
01
—
622209UMAS
HARVARD PILGRIM HEALTHCAR
MA
05
—
64048093
—
KY
05
—
7241984
—
VA
01
—
96512201
NETWORK HEALTH
MA
01
—
FALLON
116562
MA
01
—
J40342
BLUE CROSS & BLUE SHIELD
MA
01
—
R06903
JOHN DEERE
TN
Enumeration date
08/09/2005
Last updated
11/26/2024
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