Provider Demographics
NPI:1548341837
Name:DAYYA, DAVID (DO, MPH)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:
Last Name:DAYYA
Suffix:
Gender:M
Credentials:DO, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 655
Mailing Address - Street 2:
Mailing Address - City:GUILFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06437-0655
Mailing Address - Country:US
Mailing Address - Phone:203-972-7766
Mailing Address - Fax:203-594-7282
Practice Address - Street 1:194 SOUTH AVE
Practice Address - Street 2:
Practice Address - City:NEW CANAAN
Practice Address - State:CT
Practice Address - Zip Code:06840-5728
Practice Address - Country:US
Practice Address - Phone:203-972-7766
Practice Address - Fax:203-594-7282
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-17
Last Update Date:2019-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY204980207Q00000X, 2083P0011X
CT000432207R00000X, 2083P0011X, 2083P0500X, 208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083P0011XAllopathic & Osteopathic PhysiciansPreventive MedicineUndersea and Hyperbaric Medicine
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No2083P0500XAllopathic & Osteopathic PhysiciansPreventive MedicinePreventive Medicine/Occupational Environmental Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Provider Identifiers
StateIdentifier IDID TypeIssuer
G58077Medicare ID - Type Unspecified