Basic Information
| Provider Information | |||||||||
| NPI: | 1689993313 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | DANHASH | ||||||||
| FirstName: | MAHER | ||||||||
| MiddleName: | |||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1183 E FOOTHILL BLVD STE 135 | ||||||||
| Address2: | |||||||||
| City: | UPLAND | ||||||||
| State: | CA | ||||||||
| PostalCode: | 917864082 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9098442090 | ||||||||
| FaxNumber: | 9094783644 | ||||||||
| Practice Location | |||||||||
| Address1: | 1183 E FOOTHILL BLVD STE 135 | ||||||||
| Address2: | |||||||||
| City: | UPLAND | ||||||||
| State: | CA | ||||||||
| PostalCode: | 917864082 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9098442090 | ||||||||
| FaxNumber: | 9094783644 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/20/2010 | ||||||||
| LastUpdateDate: | 08/27/2021 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | 08/27/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | A125905 | CA | Y | Allopathic & Osteopathic Physicians | Family Medicine |
No ID Information.