Healthcare Provider Details

I. General information

NPI: 1205713310
Provider Name (Legal Business Name): MAYA DAGHER MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/19/2025
Last Update Date: 08/19/2025
Certification Date: 08/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11100 EUCLID AVE
CLEVELAND OH
44106-1716
US

IV. Provider business mailing address

1999 CIRCLE DR APT 336
CLEVELAND OH
44106-3670
US

V. Phone/Fax

Practice location:
  • Phone: 216-546-6555
  • Fax:
Mailing address:
  • Phone: 216-546-6555
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License Number57.257873
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: