Provider Demographics
NPI:1346347820
Name:RIAD DAKHEEL, M.D., P.A.
Entity Type:Organization
Organization Name:RIAD DAKHEEL, M.D., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SALWA
Authorized Official - Middle Name:
Authorized Official - Last Name:DAKHEEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:240-938-3595
Mailing Address - Street 1:4000 MITCHELLVILLE RD STE B218
Mailing Address - Street 2:
Mailing Address - City:BOWIE
Mailing Address - State:MD
Mailing Address - Zip Code:20716-3146
Mailing Address - Country:US
Mailing Address - Phone:301-850-6333
Mailing Address - Fax:
Practice Address - Street 1:4000 MITCHELLVILLE RD STE B218
Practice Address - Street 2:
Practice Address - City:BOWIE
Practice Address - State:MD
Practice Address - Zip Code:20716-3146
Practice Address - Country:US
Practice Address - Phone:301-805-6333
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-19
Last Update Date:2022-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
207RP1001X
MDD0026492207RS0012X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep MedicineGroup - Multi-Specialty
No207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC070821Medicare PIN
MDB93124Medicare UPIN