Provider Demographics
NPI:1467689026
Name:DAHU, JIRIES SULEIMAN (MD)
Entity Type:Individual
Prefix:DR
First Name:JIRIES
Middle Name:SULEIMAN
Last Name:DAHU
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 57926
Mailing Address - Street 2:
Mailing Address - City:WEBSTER
Mailing Address - State:TX
Mailing Address - Zip Code:77598-7926
Mailing Address - Country:US
Mailing Address - Phone:281-724-8296
Mailing Address - Fax:281-724-1858
Practice Address - Street 1:600 N KOBAYASHI STE 312
Practice Address - Street 2:
Practice Address - City:WEBSTER
Practice Address - State:TX
Practice Address - Zip Code:77598-4841
Practice Address - Country:US
Practice Address - Phone:281-724-8296
Practice Address - Fax:281-724-1858
Is Sole Proprietor?:No
Enumeration Date:2009-06-22
Last Update Date:2023-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXQ4742207R00000X, 207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX355019605Medicaid
TX8GB226OtherBCBSTX
TX466925YSSBMedicare PIN
TX8FS541OtherBCBS
TX466925ZMA1Medicare PIN
TX355019603Medicaid