MEDICARE: ACHUT DAHAL

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	363LF0000X	Family Nurse Practitioner	APRN.CNP.0041631	OH

General Provider Information

NPI Number	:	1740135722
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ACHUT DAHAL

Provider Business Mailing Address
First Line	:	7006 GASPAR TRL
Second Line	:
City	:	LIBERTY TOWNSHIP
State	:	OH
Zip	:	45044-3740
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6373 GREENBRIAR DR
Second Line	:
City	:	FAIRFIELD
State	:	OH
Zip	:	45014-4708
Country	:	US
Telephone Number	:	513-886-0482
Fax Number	:

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

Provider Enumeration Date	:	03/04/2026
Last Update Date	:	03/04/2026

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Directions to “ ACHUT DAHAL ” Practice Location

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