Individual
DIMA DANDACHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
1 HOSPITAL DR, COLUMBIA, MO 65212-0001
(573) 882-3107
(573) 884-5790
Mailing address
PO BOX 843966 GRADUATE MEDICAL EDUCATION, KANSAS CITY, MO 64184-3966
(573) 884-3300
(573) 884-0943
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2018016511
MO
390200000X
Student in an Organized Health Care Education/Training Program
036138486
IL
Other
Enumeration date
08/14/2012
Last updated
10/05/2022
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