Provider Demographics
NPI:1366592867
Name:DAHUKEY, AMRAM (DPM)
Entity type:Individual
Prefix:DR
First Name:AMRAM
Middle Name:
Last Name:DAHUKEY
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5300 E ERICKSON DR
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85712-2828
Mailing Address - Country:US
Mailing Address - Phone:520-326-6766
Mailing Address - Fax:
Practice Address - Street 1:5300 E ERICKSON DR STE 118
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85712-2809
Practice Address - Country:US
Practice Address - Phone:520-326-6766
Practice Address - Fax:520-323-6660
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-10
Last Update Date:2011-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ0189213E00000X, 213EP1101X, 213ES0103X, 213ES0131X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
No213EP1101XPodiatric Medicine & Surgery Service ProvidersPodiatristPrimary Podiatric Medicine
No213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
No213ES0131XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ480009265OtherRAILROAD MEDICARE
AZ700288Medicaid
AZ480009265OtherRAILROAD MEDICARE