Basic Information
Provider Information
NPI: 1710206115
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: DAHER
FirstName: RAMSEY
MiddleName: JOSEPH
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 14010 SMOKETOWN RD
Address2: STE 117
City: WOODBRIDGE
State: VA
PostalCode: 221924722
CountryCode: US
TelephoneNumber: 7035800181
FaxNumber: 7038978763
Practice Location
Address1: 5550 FRIENDSHIP BLVD STE T90
Address2:  
City: CHEVY CHASE
State: MD
PostalCode: 208157313
CountryCode: US
TelephoneNumber: 2407370085
FaxNumber: 2022960301
Other Information
ProviderEnumerationDate: 05/25/2010
LastUpdateDate: 06/06/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
174400000X0101259785VAN Other Service ProvidersSpecialist 

No ID Information.


Home