Individual
ALEXEY DANILOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1500 DUARTE RD, DUARTE, CA 91010-3012
(626) 256-4673
Mailing address
PO BOX 512185, LOS ANGELES, CA 90051-0185
(626) 256-4673
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
LP00105
RI
207RH0000X
Hematology (Internal Medicine) Physician
Primary
C166505
CA
207RH0003X
Hematology & Oncology Physician
14755
NH
207RH0003X
Hematology & Oncology Physician
MD168942
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1017815
—
VT
05
—
30209677
—
NH
Enumeration date
08/20/2006
Last updated
12/07/2020
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