Healthcare Provider Details

I. General information

NPI: 1376177949
Provider Name (Legal Business Name): JEHAD JAY DAHMAN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/23/2020
Last Update Date: 02/23/2020
Certification Date: 02/23/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

877 WILSON AVE, UNIT 13 DOWNSVIEW PEDIATRIC URGENT CARE CLINIC
TORONTO ON
M3K 1E6
CA

IV. Provider business mailing address

41 TWYFORD RD
TORONTO ON
M9A 1W3
CA

V. Phone/Fax

Practice location:
  • Phone: 647-351-7337
  • Fax: 647-351-7339
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberMD23633
License Number StateME

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: