Dajusta, Daniel Goncalves

Dajusta, Daniel Goncalves is an individual health care provider with primary practice located at 555 S 18Th St , Columbus OH 43205-2654. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Urology, Allopathic & Osteopathic Physicians / Pediatric Urology. Allopathic & Osteopathic Physicians / Pediatric Urology is his primary health care specialty. Dajusta, Daniel Goncalves can be contacted via phone (614) 722-6200.

Contact Information

Primary practice address
555 S 18Th St Columbus OH 43205-2654
Phone: (614) 722-6200
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 35123696 Ohio
Allopathic & Osteopathic Physicians / Pediatric Urology 2088P0231X 35123696 Ohio

Profile Details

NPI number 1265620132
LBN Legal business name Dajusta, Daniel Goncalves
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2007
Last updated Sep 6th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265620132 NPPES
Ohio MEDICAID 0106231
Ohio MEDICAID 7100171090

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