HALIM BOU DAHER MD
NPI 1801473061
Student in an Organized Health Care Education/Training Program in Saint Louis, MO

Q: What is the provider's specialty?

The provider's specialty is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Active since March 25, 2021PECOS Enrolled

1201 S GRAND BLVD, SAINT LOUIS, MO 63104(314) 257-8000(314) 977-1664 Get Directions Write a Review

NPPES record last updated: March 26, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Halim Bou Daher Md NPPES

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

HALIM BOU DAHER MD (NPI 1801473061) is an individual student in an organized health care education/training program in Saint Louis, Missouri and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1801473061

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameHALIM BOU DAHERCredential: MD

Location Address1201 S GRAND BLVDSaint Louis, MO 63104-1016

Mailing Address1008 S Spring AveSaint Louis, MO 63110-2520 · (314) 977-2605 · Fax (314) 977-1664

Phone(314) 257-8000

Fax(314) 977-1664

Sole ProprietorNo

Enumeration DateMarch 25, 2021

Last NPPES UpdateMarch 26, 2021

NPPES CertifiedMarch 26, 2021

✔ NPI 1801473061 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.

1201 S GRAND BLVD, Saint Louis, MO 63104

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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)

Halim Bou Daher Md 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.