Organization Active NPI

Chuck Dahan ,M.D ,P.a.

  • Internal Medicine Physician
  • Altamonte Springs, FL
National Provider Identifier
1194061887
Registry record updated May 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME74515 Issued in FL
Legal business name
CHUCK DAHAN ,M.D ,P.A.
Practice address
616 E Altamonte Dr
Altamonte Springs, FL 32701-4823
Phone
(407) 339-7477
Fax
(407) 831-4565
NPI assigned
Dec 27, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Chaker Dahan, M.D.
Title
Director
Phone
(407) 339-7477

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X ME74515 FL Primary

Addresses

Primary practice location

616 E Altamonte Dr
Altamonte Springs, FL 32701-4823

Mailing address

616 E Altamonte Dr
Altamonte Springs, FL 32701-4823
Phone (407) 339-7477

National Provider Directory

National Provider Directory

Locations

616 E Altamonte Dr
Ste 201
Altamonte Springs, FL 32701
Phone (407) 339-7477

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1356566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369267200000",
    "number": "1194061887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "616 E ALTAMONTE DR",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327014823",
            "telephone_number": "407-339-7477",
            "fax_number": "407-831-4565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "616 E ALTAMONTE DR",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327014823",
            "telephone_number": "407-339-7477",
            "fax_number": "407-831-4565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHUCK DAHAN ,M.D ,P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-27",
        "last_updated": "2013-05-23",
        "status": "A",
        "authorized_official_last_name": "DAHAN",
        "authorized_official_first_name": "CHAKER",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "407-339-7477",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME74515",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Altamonte Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.