Dahdah Medical Group, Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME108147 Issued in FL

Legal business name

DAHDAH MEDICAL GROUP, INC

Practice address

11760 Bird Rd
Suite 622a
Miami, FL 33175-3582

Phone

(786) 427-3918

NPI assigned

Jul 27, 2015

Last updated

Jul 31, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michelle Dahdah

Title

President

Phone

(786) 427-3918

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Tax ID family

Dahdah Medical Group Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Dahdah Medical Group, Inc

  • Internal Medicine Physician
  • Miami, FL
  • NPI 1275305807
  NPD tax ID

Locations

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.

• Naim Dahdah, M.D.

  • Internal Medicine Physician
  • Miami, FL
  • NPI 1922338185
  Medicare reassignment NPD

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

{
    "created_epoch": "1437955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438300800000",
    "number": "1790160265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7993 NW 116TH AVE",
            "city": "MEDLEY",
            "state": "FL",
            "postal_code": "331782533",
            "telephone_number": "786-427-3918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11760 BIRD RD",
            "address_2": "SUITE 622A",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331753582",
            "telephone_number": "786-427-3918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAHDAH MEDICAL GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-27",
        "last_updated": "2015-07-31",
        "status": "A",
        "authorized_official_last_name": "DAHDAH",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-427-3918"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME108147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adrienne Dague, MD
• Suraj Dahal, MD
• Sigal Dahan, DMD
• Yasmira Dahan
• Dahdah Medical Group, Inc
• Michelle L. Dahdah, PA
• Naim Dahdah, M.D.
• Amanda Carolina Dahl
• Victoria A Dahl, MD
• Thomas John Dahlan, DMD

• Internal Medicine Physician in Miami, FL
• Providers in Miami, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.