| Dagher Md Medical Group Inc | |
|
376 W Badillo St Covina CA 91723-1827 | |
| (626) 332-1175 | |
| (626) 966-8746 |
| Full Name | Dagher Md Medical Group Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 376 W Badillo St, Covina, California |
| Authorized Official Name and Position | Nadim Dagher (OWNER) |
| Authorized Official Contact | 6263321175 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dagher Md Medical Group Inc 376 W Badillo St Covina CA 91723-1827 Ph: (626) 332-1175 | Dagher Md Medical Group Inc 376 W Badillo St Covina CA 91723-1827 Ph: (626) 332-1175 |
| NPI Number | 1194037879 |
|---|---|
| Provider Enumeration Date | 07/09/2010 |
| Last Update Date | 07/09/2010 |
| Medicare PECOS PAC ID | 6103958087 |
|---|---|
| Medicare Enrollment ID | O20100712000412 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194037879 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A98565 (California) | Primary |
| Provider Name | Nadim K Dagher |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053531467 PECOS PAC ID: 8527156561 Enrollment ID: I20071108000633 |
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