Active NPI
Dr. Abdulkader Dahhan PSC
- Internal Medicine Physician
- Harlan, KY
National Provider Identifier
1043355290
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 17192
- Legal business name
- DR. ABDULKADER DAHHAN PSC
- Practice address
- 120 Professional LN Ste 101
Harlan, KY 40831-2601 - Phone
- (606) 573-1085
- Fax
- (606) 573-9956
- NPI assigned
- Feb 21, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Sandy Johnson, RMA
- Title
- Office Manager
- Phone
- (606) 573-1085
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 17192 | KY | Primary |
Addresses
Primary practice location
120 Professional LN Ste 101
Harlan, KY 40831-2601
Mailing address
120 Professional LN Ste 101
Harlan, KY 40831-2601
Phone (606) 573-1085
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 64171929 | Medicaid | KY |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Internal Medicine Physician
- Harlan, KY
- NPI 1639134794
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172016000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1214179200000",
"number": "1043355290",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 PROFESSIONAL LN STE 101",
"city": "HARLAN",
"state": "KY",
"postal_code": "408312601",
"telephone_number": "606-573-1085",
"fax_number": "606-573-9956"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 PROFESSIONAL LN STE 101",
"city": "HARLAN",
"state": "KY",
"postal_code": "408312601",
"telephone_number": "606-573-1085",
"fax_number": "606-573-9956"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DR. ABDULKADER DAHHAN PSC",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-21",
"last_updated": "2008-06-23",
"status": "A",
"authorized_official_last_name": "JOHNSON",
"authorized_official_first_name": "SANDY",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "606-573-1085",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "RMA"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "KY",
"license": "17192",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64171929",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Harlan, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.