Provider Demographics
NPI:1447368410
Name:BIRNBAUM, DANIEL CHARLES (MD)
Entity type:Individual
Prefix:
First Name:DANIEL
Middle Name:CHARLES
Last Name:BIRNBAUM
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:747 52ND ST
Mailing Address - Street 2:DEPARTMENT OF NEUROLOGY
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94609-1809
Mailing Address - Country:US
Mailing Address - Phone:510-428-3590
Mailing Address - Fax:510-601-3974
Practice Address - Street 1:747 52ND ST
Practice Address - Street 2:DEPARTMENT OF NEUROLOGY
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94609-1809
Practice Address - Country:US
Practice Address - Phone:510-428-3590
Practice Address - Fax:510-601-3974
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-29
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
CAG492672084N0402X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0402XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology with Special Qualifications in Child Neurology