Individual ProviderFadi DaherInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address2225 Union Ave Ste 100, Memphis, TN 38104-4391(901) 726-1161(901) 726-1199PECOS EnrollmentBased on the most recent information from CMS, provider Fadi Daher is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1164554572Provider TypeIndividualFull NameDaher, FadiCredentialM.D.GenderMaleSole ProprietorNoEnumeration Date3/12/2007Last Updated2/26/2025Contact InformationPractice LocationPractice Address2225 Union Ave Ste 100, Memphis, TN 38104-4391Phone(901) 726-1161Fax(901) 726-0161Mailing LocationMailing Address176 S Bellevue Blvd, Suite 502, Memphis, TN 38104-3417Phone(901) 726-1199Fax(901) 726-0794Provider TaxonomiesCodeDescriptionLicenseCode207RN0300XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseMD41879Tennessee