Ethan Daniels (NPI# 1699852558, PAC ID# 4587851217) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CARDIOVASCULAR DISEASE (CARDIOLOGY).
| Nation Provider ID (NPI) | 1699852558 |
| PAC ID by PECOS | 4587851217 |
| Professional Enrollment ID | I20101207001307 |
| Full Name | Ethan Daniels |
| Organization Legal Name | MOHAMMED S QAYYUM MD INC |
| Address |
18511 Mission View Dr Suite 100 Morgan Hill CA 95037-2975 |
| Phone Number | 4086102001 |
| Gender | M |
| Medical School | RUSH MEDICAL COLLEGE OF RUSH UNIVERSITY |
| Graduation Year | 1981 |
| Primary Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| Group Practice PAC ID | 3476862780 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050071 | KAISER FOUNDATION HOSPITAL-SANTA CLARA |
| Address | Phone | Organization |
|---|---|---|
| 18511 Mission View Dr, Suite 100, Morgan Hill, CA 95037-2975 | 4086102001 | MOHAMMED S QAYYUM MD INC |
| 2550 Samaritan Dr, Suite D, San Jose, CA 95124-4104 | 6507669338 | MOHAMMED S QAYYUM MD INC |
| 700 Lawrence Expy, Santa Clara, CA 95051-5173 | 4088511000 | PERMANENTE MEDICAL GROUP INC |
| 710 Lawrence Express Way, Santa Clara, CA 95051-5173 | 4088511000 | PERMANENTE MEDICAL GROUP INC |
| Organization Legal Name | MOHAMMED S QAYYUM MD INC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mohammed S Qayyum | Cardiovascular Disease (cardiology) | Mohammed S Qayyum Md Inc | 18511 Mission View Dr, Suite 100, Morgan Hill, CA 95037-2975 |
| Street Address |
18511 MISSION VIEW DR SUITE 100 |
| City | MORGAN HILL |
| State | CA |
| Zip | 95037-2975 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ariel M Hurtado | Anesthesiology | 18511 Mission View Dr, Suite 160, Morgan Hill, CA 95037-2975 | |
| Mohammed S Qayyum | Cardiovascular Disease (cardiology) | Mohammed S Qayyum Md Inc | 18511 Mission View Dr, Suite 100, Morgan Hill, CA 95037-2975 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christine A Heard | Podiatry | 18550 St Louis Dr, Suite 203, Morgan Hill, CA 95037 | |
| Erin M Schulz | Physical Therapy | Fritter, Schulz and Conlan Physical and Occupational Therapy | 18550 De Paul Dr, Suite 100, Morgan Hill, CA 95037-2911 |
| Alan Shapiro | Urology | Verity Medical Foundation | 18550 Depaul Dr, Suite 208, Morgan Hill, CA 95037-2911 |
| Visoth Chhiap | Dermatology | 18550 De Paul Dr, Suite 204, Morgan Hill, CA 95037-2911 | |
| Jaime R Tompkins | Nurse Practitioner | Silicon Valley Medical Development LLC | 18550 De Paul Dr, Morgan Hill, CA 95037-2911 |
| Rajesh Prasad | Cardiovascular Disease (cardiology) | 18550 De Paul Dr, Suite 107, Morgan Hill, CA 95037-2911 | |
| Robert W Conlan | Physical Therapy | Fritter, Schulz and Conlan Physical and Occupational Therapy | 18550 De Paul Dr, Suite 100, Morgan Hill, CA 95037-2911 |
| Eli Chen | Orthopedic Surgery | 18550 De Paul Dr, Suite 203, Morgan Hill, CA 95037-2911 | |
| Nimisha H Shah | Internal Medicine | 18550 De Paul Dr, Suite 101, Morgan Hill, CA 95037-2911 | |
| Devang S Shah | Internal Medicine | 18550 De Paul Dr, Suite 101, Morgan Hill, CA 95037-2911 | |
| Find all physicians in zip 95037 | |||
| City | MORGAN HILL |
| Zip Code | 95037 |
| Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| City + Specialty | MORGAN HILL + CARDIOVASCULAR DISEASE (CARDIOLOGY) |
Please comment or provide details below to improve the information on Ethan Daniels.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.