Active NPI
Daniel Dadourian, MD
- Cardiovascular Disease Physician
- Phila, PA
National Provider Identifier
1396715249
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- MD050781L
- Practice address
- 230 N Broad St
7TH FLR., Ms 108
Phila, PA 19102-1121 - Phone
- (215) 762-3215
- Fax
- (215) 246-5453
- NPI assigned
- Jan 24, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | MD050781L | PA | Primary |
Addresses
Primary practice location
230 N Broad St
7TH FLR., Ms 108
Phila, PA 19102-1121
Mailing address
207 N Broad St
3Rd FLR., Attn: Kim Edwards
Phila, PA 19107-1500
Phone (215) 462-7100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CFL Associates LTD. | Cardiovascular Disease | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Cardiovascular Disease Physician
- Paoli, PA
- NPI 1760790265
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138060800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1201046400000",
"number": "1396715249",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "207 N BROAD ST",
"address_2": "3RD FLR., ATTN: KIM EDWARDS",
"city": "PHILA",
"state": "PA",
"postal_code": "191071500",
"telephone_number": "215-462-7100",
"fax_number": "215-463-3820"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "230 N BROAD ST",
"address_2": "7TH FLR., MS 108",
"city": "PHILA",
"state": "PA",
"postal_code": "191021121",
"telephone_number": "215-762-3215",
"fax_number": "215-246-5453"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DADOURIAN",
"first_name": "DANIEL",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-24",
"last_updated": "2008-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "PA",
"license": "MD050781L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phila, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.