Provider Demographics
NPI:1629721204
Name:DAGHER PLLC
Entity Type:Organization
Organization Name:DAGHER PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BATOUL
Authorized Official - Middle Name:
Authorized Official - Last Name:DAGHER
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:313-213-4465
Mailing Address - Street 1:2035 MONROE ST
Mailing Address - Street 2:
Mailing Address - City:DEARBORN
Mailing Address - State:MI
Mailing Address - Zip Code:48124-2920
Mailing Address - Country:US
Mailing Address - Phone:313-438-6052
Mailing Address - Fax:313-789-8545
Practice Address - Street 1:2035 MONROE ST
Practice Address - Street 2:
Practice Address - City:DEARBORN
Practice Address - State:MI
Practice Address - Zip Code:48124-2920
Practice Address - Country:US
Practice Address - Phone:313-438-6052
Practice Address - Fax:313-789-8545
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-02
Last Update Date:2022-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty