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NPI Code Detail

MEDICARE: REDA M DAHER D.O.

MEDICARE: REDA M DAHER D.O.
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
1208M00000XHospitalist Physician2024000701MO
2207R00000XInternal Medicine Physician05-41403KS
3207R00000XInternal Medicine Physician2024000701MO
4207R00000XInternal Medicine PhysicianDOOK

General Provider Information

NPI Number : 1972820090
Entity Type Code : Individual
Provider Name (Legal Business Name) : REDA M DAHER D.O.
Provider Business Mailing Address
First Line : 1004 CARONDELET DR STE 300
Second Line :
City : KANSAS CITY
State : MO
Zip : 64114-4858
Country : US
Telephone Number : 816-943-4700
Fax Number :
Provider Business Practice Location Address
First Line : 1000 CARONDELET DR
Second Line :
City : KANSAS CITY
State : MO
Zip : 64114-4673
Country : US
Telephone Number : 816-943-2839
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/29/2010
Last Update Date : 05/07/2026

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Directions to “ REDA M DAHER D.O.” Practice Location

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