Individual
DR. DANIEL ALAN ICHEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
2002-0050
NM
2085R0202X
Diagnostic Radiology Physician
Primary
G87154
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
19176872
—
NM
01
—
2258272
MEDICARE GROUP
NM
05
—
45138
—
NM
05
—
52713
—
NM
01
—
600521002
MEDICARE IDTF
NM
01
—
700521102
MEDICARE GROUP
NM
01
—
800521126
MEDICAID IDTF
NM
05
—
L0634
—
NM
Enumeration date
06/09/2005
Last updated
07/22/2015
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