Individual
NADIM N DAHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
802 S JACKSON AVE STE 310, TULSA, OK 74127-9057
(918) 631-8130
(918) 631-8134
Mailing address
2401 SOUTHWEST BLVD, TULSA, OK 74107-2726
(918) 561-5701
(918) 561-1173
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
24335
OK
207RP1001X
Pulmonary Disease Physician
Primary
24335
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200095140B
—
OK
01
—
289678YMSD
MEDICARE
OK
Enumeration date
09/26/2006
Last updated
09/11/2020
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