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NPI Code Detail

MEDICARE: GHASSAN DAHER MD

MEDICARE: GHASSAN DAHER MD
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
1207RI0011XInterventional Cardiology Physician57.252228OH
2208M00000XHospitalist Physician2020019641MO
3390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1407378078
Entity Type Code : Individual
Provider Name (Legal Business Name) : GHASSAN DAHER MD
Provider Business Mailing Address
First Line : 8055 MAYFIELD RD STE 105
Second Line :
City : CHESTERLAND
State : OH
Zip : 44026-2447
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 11100 EUCLID AVE
Second Line :
City : CLEVELAND
State : OH
Zip : 44106-1716
Country : US
Telephone Number : 216-844-3800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/14/2017
Last Update Date : 06/05/2026

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