Provider Demographics
NPI:1447370648
Name:KAUFFMAN, DANIEL RAY (MD)
Entity type:Individual
Prefix:
First Name:DANIEL
Middle Name:RAY
Last Name:KAUFFMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:10215 FERNWOOD RD
Mailing Address - Street 2:#520
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20817
Mailing Address - Country:US
Mailing Address - Phone:301-897-0099
Mailing Address - Fax:301-897-8537
Practice Address - Street 1:10215 FERNWOOD RD
Practice Address - Street 2:#520
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20817
Practice Address - Country:US
Practice Address - Phone:301-897-0099
Practice Address - Fax:301-897-8537
Is Sole Proprietor?:No
Enumeration Date:2007-03-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDD00641182084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
I26647Medicare UPIN