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NPI Code Detail

MEDICARE: DR. AZAR P. DAGHER M.D.

MEDICARE: DR. AZAR P. DAGHER M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12085N0700XNeuroradiology PhysicianME151509FL
22085R0202XDiagnostic Radiology PhysicianD0043048MD
32085R0202XDiagnostic Radiology PhysicianME151509FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1295726750
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. AZAR P. DAGHER M.D.
Provider Business Mailing Address
First Line : 1150 NW 14TH ST
Second Line :
City : MIAMI
State : FL
Zip : 33136-2137
Country : US
Telephone Number : 305-243-1576
Fax Number :
Provider Business Practice Location Address
First Line : 1150 NW 14TH ST
Second Line :
City : MIAMI
State : FL
Zip : 33136-2137
Country : US
Telephone Number : 305-243-1576
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/03/2005
Last Update Date : 11/13/2024

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Directions to “ DR. AZAR P. DAGHER M.D.” Practice Location

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