Individual
DANIEL KAKISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
600 N WOLFE ST, BALTIMORE, MD 21287-0005
(410) 955-9441
Mailing address
6201 GREENLEIGH AVE, MIDDLE RIVER, MD 21220-2004
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
H97764
MD
2086S0102X
Surgical Critical Care Physician
Primary
H97764
MD
Other
Enumeration date
06/30/2016
Last updated
07/10/2023
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