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ELISE DAHAN MBBS
NPI 1154014645
Student in an Organized Health Care Education/Training Program in Detroit, MI

Active since May 31, 2023PECOS Enrolled
3901 BEAUBIEN BLVD, PEDIATRIC EDUCATION-ROOM 3T72, DETROIT, MI 48201(313) 745-5533 Get Directions Write a Review

NPPES record last updated: August 9, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 9, 2023, May 31, 2023 (2 updates tracked since 2023).

About Elise Dahan Mbbs NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ELISE DAHAN MBBS (NPI 1154014645) is an individual student in an organized health care education/training program in Detroit, Michigan and active in the NPI registry since May 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1154014645
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameELISE DAHANCredential: MBBS
Location Address3901 BEAUBIEN BLVD, PEDIATRIC EDUCATION-ROOM 3T72Detroit, MI 48201
Mailing Address3901 Beaubien Blvd, Pediatric Education-room 3t72Detroit, MI 48201 · (313) 745-5533
Phone(313) 745-5533
Sole ProprietorNo
Enumeration DateMay 31, 2023
Last NPPES UpdateAugust 9, 20232 updates tracked since enumeration
NPPES CertifiedMay 31, 2023
✔ NPI 1154014645 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

3901 BEAUBIEN BLVD, Detroit, MI 48201
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Elise Dahan Mbbs is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MITCHEL TODD WILLIAMS M.D.
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
3901 BEAUBIEN BLVD, 3RD FLOOR NEUROLOGY DEPARTMENT
DETROIT, MI 48201
Wayne County (313) 745-5788
MR. DAVID JOHN ALLASIO LMSW
Social Worker (Clinical)
3901 BEAUBIEN BLVD, SOCIAL WORK OFFICE
DETROIT, MI 48201
Wayne County (313) 745-5281
DIANA MILAGROS TORPOCO RIVERA M.D.
Student in an Organized Health Care Education/Training Program
3901 BEAUBIEN BLVD
DETROIT, MI 48201
Wayne County (313) 745-1892
ELANA ACKERMAN M.D.
Pediatrics
3901 BEAUBIEN BLVD
DETROIT, MI 48201
Wayne County (313) 745-5437
MR. PEZAD NOZER DOCTOR M.D.
Student in an Organized Health Care Education/Training Program
3901 BEAUBIEN BLVD, PEDIATRIC EDUCATION OFFICE 3T-72, 3RD FLOOR
DETROIT, MI 48201
Wayne County (313) 745-1892
ELIANE ALHALABI MD
Student in an Organized Health Care Education/Training Program
3901 BEAUBIEN BLVD
DETROIT, MI 48201
Wayne County (216) 778-9109
MS. LAVINA VIJAY DESAI M.D.
Student in an Organized Health Care Education/Training Program
3901 BEAUBIEN BLVD, DETROIT MEDICAL CENTER - CHILDRENS HOSPITAL OF MICHIGAN
DETROIT, MI 48201
Wayne County (313) 745-1892
MS. SHRUTHI SURYAPRAKASH M.D.
Student in an Organized Health Care Education/Training Program
3901 BEAUBIEN BLVD
DETROIT, MI 48201
Wayne County (313) 765-1892

Frequently Asked Questions

What is Elise Dahan's NPI number?

The NPI number assigned to this healthcare provider is 1154014645, enumerated as an "individual" on May 31, 2023.

Where is the provider located?

The provider is located at 3901 BEAUBIEN BLVD PEDIATRIC EDUCATION-ROOM 3T72 DETROIT, MI 48201 and the phone number is (313) 745-5533.

What is the provider's specialty?

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.