Provider Demographics
NPI:1447210026
Name:DAGHER-RODGER, HOUDA H (MD)
Entity type:Individual
Prefix:DR
First Name:HOUDA
Middle Name:H
Last Name:DAGHER-RODGER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26227 LAWRENCE DR
Mailing Address - Street 2:
Mailing Address - City:DEARBORN HEIGHTS
Mailing Address - State:MI
Mailing Address - Zip Code:48127-3345
Mailing Address - Country:US
Mailing Address - Phone:313-792-8717
Mailing Address - Fax:
Practice Address - Street 1:2845 MONROE ST
Practice Address - Street 2:
Practice Address - City:DEARBORN
Practice Address - State:MI
Practice Address - Zip Code:48124-3491
Practice Address - Country:US
Practice Address - Phone:313-730-0070
Practice Address - Fax:313-730-1672
Is Sole Proprietor?:No
Enumeration Date:2006-03-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI43010808841208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics