Active NPI
Amirah Hasan Daher, MD
- Pediatric Critical Care Medicine Physician
- Kingsport, TN
National Provider Identifier
1639173487
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Critical Care Medicine Physician
- License
- NA
- Practice address
- 2033 Meadowview LN
3Rd Floor
Kingsport, TN 37660-7569 - Phone
- (423) 857-2793
- Fax
- (423) 578-2793
- NPI assigned
- Jun 9, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neonatal-Perinatal Medicine Physician | 2080N0001X | 4301075611 | MI | |
| Pediatric Critical Care Medicine Physician | 2080P0203X | NA | TN | Primary |
Addresses
Primary practice location
2033 Meadowview LN
3Rd Floor
Kingsport, TN 37660-7569
Mailing address
PO Box 9
Kingsport, TN 37662-0009
Phone (423) 857-2093
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3001284 | Medicaid | TN | |
| 1639173487 | Medicaid | VA | |
| 451015610 | Medicaid | MI |
Other names 1
- Dr. Amirah Hasan Daher
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301075611 | MI | MD | Neonatal-Perinatal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118275200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1253059200000",
"number": "1639173487",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 9",
"city": "KINGSPORT",
"state": "TN",
"postal_code": "376620009",
"telephone_number": "423-857-2093",
"fax_number": "423-857-2012"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2033 MEADOWVIEW LN",
"address_2": "3RD FLOOR",
"city": "KINGSPORT",
"state": "TN",
"postal_code": "376607569",
"telephone_number": "423-857-2793",
"fax_number": "423-578-2793"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAHER",
"first_name": "AMIRAH",
"middle_name": "HASAN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-06-09",
"last_updated": "2009-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "2080N0001X",
"taxonomy_group": "",
"desc": "Pediatrics, Neonatal-Perinatal Medicine",
"state": "MI",
"license": "4301075611",
"primary": false
},
{
"code": "2080P0203X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Critical Care Medicine",
"state": "TN",
"license": "NA",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3001284",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1639173487",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "451015610",
"state": "MI"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "AMIRAH",
"last_name": "DAHER",
"middle_name": "HASAN",
"prefix": "DR.",
"credential": "M.D.",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Kingsport, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.