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NPI Code Detail

MEDICARE: DANIEL AHN PHYSICIAN

MEDICARE: DANIEL AHN PHYSICIAN
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
1207Q00000XFamily Medicine PhysicianV9451TX
2207Q00000XFamily Medicine Physician25MB11111300NJ

General Provider Information

NPI Number : 1730683400
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANIEL AHN PHYSICIAN
Provider Business Mailing Address
First Line : 8330 MEADOW RD STE 100
Second Line :
City : DALLAS
State : TX
Zip : 75231-0313
Country : US
Telephone Number : 972-646-8346
Fax Number : 972-597-4880
Provider Business Practice Location Address
First Line : 8330 MEADOW RD STE 100
Second Line :
City : DALLAS
State : TX
Zip : 75231-0313
Country : US
Telephone Number : 972-646-8346
Fax Number : 972-597-4880
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/19/2018
Last Update Date : 02/09/2026

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Directions to “ DANIEL AHN PHYSICIAN” Practice Location

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