Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RN0300X | Nephrologist | 168450 | NY |
NPI | 1013099787 |
---|---|
Provider Name | Dr. Ala Dahhan |
First Address | Rochester, NY 14617-5504 |
Second Address | Rochester, NY 14626-4117 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/10/2006 |
Last Update Date | 12/02/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01133320 | (05) | NY |
E36188 | (02) | NY |