Individual
DR. AMIRAH HASAN DAHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2033 MEADOWVIEW LN, 3RD FLOOR, KINGSPORT, TN 37660-7569
(423) 857-2793
(423) 578-2793
Mailing address
PO BOX 9, KINGSPORT, TN 37662-0009
(423) 857-2093
(423) 857-2012
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
4301075611
MI
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
NA
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1639173487
—
VA
05
—
3001284
—
TN
05
—
451015610
—
MI
Enumeration date
06/09/2005
Last updated
09/16/2009
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