Provider Demographics
NPI:1952475550
Name:WEISSHAAR, DANA M (MD)
Entity type:Individual
Prefix:
First Name:DANA
Middle Name:M
Last Name:WEISSHAAR
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:160 CAMBRIDGEPARK DR UNIT 112
Mailing Address - Street 2:
Mailing Address - City:CAMBRIDGE
Mailing Address - State:MA
Mailing Address - Zip Code:02140-2452
Mailing Address - Country:US
Mailing Address - Phone:617-286-6874
Mailing Address - Fax:508-206-8173
Practice Address - Street 1:112 PEACH WILLOW CT
Practice Address - Street 2:
Practice Address - City:LOS GATOS
Practice Address - State:CA
Practice Address - Zip Code:95032-1362
Practice Address - Country:US
Practice Address - Phone:408-459-8899
Practice Address - Fax:508-206-8173
Is Sole Proprietor?:No
Enumeration Date:2006-11-17
Last Update Date:2025-07-25
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAG75915207RA0001X
CAG075915207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207RA0001XAllopathic & Osteopathic PhysiciansInternal MedicineAdvanced Heart Failure and Transplant Cardiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G759150Medicaid
00G759150Medicare ID - Type Unspecified
CA00G759150Medicaid