IndividualActive
Daniel Gans, MD
NPI 1508122029 · Vascular & Interventional Radiology Physician · Edgewood, KY
Provider details
- NPI number
- 1508122029
- Entity type
- Individual
- Primary specialty
- Vascular & Interventional Radiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 036146649 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
1 Medical Village Dr
Edgewood, KY 41017-3403
Phone: (610) 477-6147
Approximate (ZIP-level) locationGet directions
Mailing address
111 Oakwood Rd
East Peoria, IL 61611-1853
Additional practice locations (1)
- 530 Ne Glen Oak AvePeoria, IL 61637-0001Phone: (309) 655-2000
Registry dates
- Enumerated
- 2012-04-10
- Last updated
- 2025-08-22
- Certified
- 2025-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.