MEDICARE: DR. AHMAD SAYIM AD DAHR M.D.

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
1	174400000X	Specialist	9766	OK

General Provider Information

NPI Number	:	1144213315
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. AHMAD SAYIM AD DAHR M.D.

Provider Business Mailing Address
First Line	:	3366 NW EXPRESSWAY
Second Line	:	SUITE 680
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73112-4455
Country	:	US
Telephone Number	:	405-947-2321
Fax Number	:	405-947-6941

Provider Business Practice Location Address
First Line	:	3366 NW EXPRESSWAY
Second Line	:	SUITE 680
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73112-4455
Country	:	US
Telephone Number	:	405-947-2321
Fax Number	:	405-947-6941

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/23/2005
Last Update Date	:	10/23/2007

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