Basic Information
| Provider Information | |||||||||
| NPI: | 1760426621 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | DANKO | ||||||||
| FirstName: | EUGENE | ||||||||
| MiddleName: | THOMAS | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 503 VALHALLA DR | ||||||||
| Address2: | |||||||||
| City: | SEWICKLEY | ||||||||
| State: | PA | ||||||||
| PostalCode: | 151439335 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4127413390 | ||||||||
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| Practice Location | |||||||||
| Address1: | 400 LOCUST AVE | ||||||||
| Address2: | |||||||||
| City: | WASHINGTON | ||||||||
| State: | PA | ||||||||
| PostalCode: | 153013329 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7242229300 | ||||||||
| FaxNumber: | 7242229246 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/15/2006 | ||||||||
| LastUpdateDate: | 02/22/2008 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2085R0202X | MD029049L | PA | Y | Allopathic & Osteopathic Physicians | Radiology | Diagnostic Radiology |
ID Information
| ID | Type | State | Issuer | Description | 016935KXJ | 01 | PA | WEST HILLS | OTHER |