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NPI Code Detail

MEDICARE: IRFAN DAHAR MD

MEDICARE: IRFAN DAHAR MD
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
12084P0800XPsychiatry Physician35-076498OH

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
3260047004OTHEROHRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1336101542
Entity Type Code : Individual
Provider Name (Legal Business Name) : IRFAN DAHAR MD
Provider Business Mailing Address
First Line : PO BOX 1265
Second Line :
City : MASON
State : OH
Zip : 45040
Country : US
Telephone Number : 513-528-4000
Fax Number :
Provider Business Practice Location Address
First Line : 6730 ROOSEVELT AVE STE 301
Second Line :
City : MIDDLETOWN
State : OH
Zip : 45005-5736
Country : US
Telephone Number : 513-928-3339
Fax Number : 513-928-3382
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/04/2006
Last Update Date : 05/19/2025

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