Healthcare Provider Details

I. General information

NPI: 1912088568
Provider Name (Legal Business Name): AMEER M DAHAR M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/18/2006
Last Update Date: 07/09/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

303 E OLIVE AVE
PORTERVILLE CA
93257-4871
US

IV. Provider business mailing address

5957 S MOONEY BLVD
VISALIA CA
93277-9394
US

V. Phone/Fax

Practice location:
  • Phone: 559-782-4150
  • Fax:
Mailing address:
  • Phone: 559-737-4669
  • Fax: 559-737-4697

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberA74502
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: