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NPI Code Detail

MEDICARE: MARTA CACERES DAHIYA M.D.

MEDICARE: MARTA CACERES DAHIYA 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
1174400000XSpecialistL8661TX
22085R0001XRadiation Oncology PhysicianL8661TX

Other Identifiers

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

General Provider Information

NPI Number : 1962474403
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARTA CACERES DAHIYA M.D.
Provider Business Mailing Address
First Line : 800 W MAGNOLIA AVE
Second Line :
City : FORT WORTH
State : TX
Zip : 76104-4611
Country : US
Telephone Number : 817-759-7000
Fax Number : 817-759-7027
Provider Business Practice Location Address
First Line : 601 W TERRELL AVE
Second Line :
City : FORT WORTH
State : TX
Zip : 76104-3243
Country : US
Telephone Number : 817-852-8342
Fax Number : 817-759-7062
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/07/2006
Last Update Date : 12/03/2015

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