Provider Demographics
NPI:1295716843
Name:SANTOS, DANILO VICTORIA (MD)
Entity type:Individual
Prefix:
First Name:DANILO
Middle Name:VICTORIA
Last Name:SANTOS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7600 OSLER DR
Mailing Address - Street 2:STE 213
Mailing Address - City:TOWSON
Mailing Address - State:MD
Mailing Address - Zip Code:21204-7701
Mailing Address - Country:US
Mailing Address - Phone:410-321-5427
Mailing Address - Fax:410-321-5428
Practice Address - Street 1:7600 OSLER DR
Practice Address - Street 2:STE 213
Practice Address - City:TOWSON
Practice Address - State:MD
Practice Address - Zip Code:21204-7701
Practice Address - Country:US
Practice Address - Phone:410-321-5427
Practice Address - Fax:410-321-5428
Is Sole Proprietor?:No
Enumeration Date:2005-11-10
Last Update Date:2007-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD12756207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD7318Medicare ID - Type Unspecified
D76583Medicare UPIN