Active NPI
Daniah Ghareeb Dhaifallah, M.D
- Anesthesiology Physician
- Brighton, MA
National Provider Identifier
1932635745
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 275425
- Practice address
- 736 Cambridge St
Brighton, MA 02135-2907 - Phone
- (617) 789-2777
- NPI assigned
- May 11, 2017
- Last updated
- Sep 10, 2018
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Anesthesiology Physician | 207L00000X | 275425 | MA | Primary |
Addresses
Primary practice location
736 Cambridge St
Brighton, MA 02135-2907
Mailing address
11100 Euclid Ave
University Hospital Cleveland Medical Center
Cleveland, OH 44106-1716
Other practice location 1
11100 Euclid Ave
University Hospital Cleveland Medical Center
Cleveland, OH 44106-1716
Phone (201) 960-5191
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 275425 | MA | MD | Anesthesiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1494460800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1536537600000",
"number": "1932635745",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11100 EUCLID AVE",
"address_2": "UNIVERSITY HOSPITAL CLEVELAND MEDICAL CENTER",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441061716"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "736 CAMBRIDGE ST",
"city": "BRIGHTON",
"state": "MA",
"postal_code": "021352907",
"telephone_number": "617-789-2777"
}
],
"practiceLocations": [
{
"address_1": "11100 Euclid Ave",
"address_2": "University Hospital Cleveland Medical Center",
"address_purpose": "LOCATION",
"city": "Cleveland",
"state": "OH",
"postal_code": "441061716",
"country_code": "US",
"telephone_number": "201-960-5191",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DHAIFALLAH",
"first_name": "DANIAH",
"middle_name": "GHAREEB",
"credential": "M.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-05-11",
"last_updated": "2018-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "MA",
"license": "275425",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brighton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.