Provider Demographics
NPI:1689993313
Name:DANHASH, MAHER (MD)
Entity Type:Individual
Prefix:
First Name:MAHER
Middle Name:
Last Name:DANHASH
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 1:1183 E FOOTHILL BLVD STE 135
Mailing Address - Street 2:
Mailing Address - City:UPLAND
Mailing Address - State:CA
Mailing Address - Zip Code:91786-4082
Mailing Address - Country:US
Mailing Address - Phone:909-844-2090
Mailing Address - Fax:909-478-3644
Practice Address - Street 1:1183 E FOOTHILL BLVD STE 135
Practice Address - Street 2:
Practice Address - City:UPLAND
Practice Address - State:CA
Practice Address - Zip Code:91786-4082
Practice Address - Country:US
Practice Address - Phone:909-844-2090
Practice Address - Fax:909-478-3644
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-20
Last Update Date:2021-08-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA125905207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine