Provider Demographics
NPI:1144213315
Name:DAHR, AHMAD SAYIM AD (MD)
Entity Type:Individual
Prefix:DR
First Name:AHMAD SAYIM
Middle Name:AD
Last Name:DAHR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3366 NW EXPRESSWAY
Mailing Address - Street 2:SUITE 680
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73112-4455
Mailing Address - Country:US
Mailing Address - Phone:405-947-2321
Mailing Address - Fax:405-947-6941
Practice Address - Street 1:3366 NW EXPRESSWAY
Practice Address - Street 2:SUITE 680
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73112-4455
Practice Address - Country:US
Practice Address - Phone:405-947-2321
Practice Address - Fax:405-947-6941
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-23
Last Update Date:2007-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK9766174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OKC94826Medicare UPIN