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Contact Information

JEFFREY L DAKAS, MD
1500 N WESTWOOD BLVD
POPLAR BLUFF, MO63901-3318
 Phone: 573-686-4151
 Fax: 573-778-4559
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
 

Clinical Cardiac Electrophysiology

207RC0001X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for JEFFREY L DAKAS · (Male)

NPI Number 1336142256
Status Active
Credentials MD
Entity Individual
Enumeration date 05/24/2005
Last updated 04/15/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 220681-1
  • OH License # 35-082276
  • PA License # MD071201L
  • NY Medicaid 02079225
  • OH Medicaid 2189760
  • PA Medicaid 001799454
Hospital affiliation(s)
  • CONEMAUGH VALLEY MEMORIAL HOSPITAL - (Acute Care)
    1086 FRANKLIN STREET
    JOHNSTOWN, PA 15905
  • MEYERSDALE COMMUNITY HOSPITAL - (Critical Access)
    200 HOSPITAL DRIVE
    MYERSDALE, PA 15552
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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