Provider Demographics
NPI:1447133616
Name:DAHIR, ABDIFATAH A (PROVIDER)
Entity type:Individual
Prefix:
First Name:ABDIFATAH
Middle Name:A
Last Name:DAHIR
Suffix:
Gender:M
Credentials:PROVIDER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:853 WALKER ST
Mailing Address - Street 2:
Mailing Address - City:JANESVILLE
Mailing Address - State:WI
Mailing Address - Zip Code:53545-1774
Mailing Address - Country:US
Mailing Address - Phone:716-598-9144
Mailing Address - Fax:
Practice Address - Street 1:853 WALKER ST
Practice Address - Street 2:
Practice Address - City:JANESVILLE
Practice Address - State:WI
Practice Address - Zip Code:53545-1774
Practice Address - Country:US
Practice Address - Phone:716-598-9144
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-28
Last Update Date:2025-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)